Healthcare Provider Details
I. General information
NPI: 1285791020
Provider Name (Legal Business Name): CHURCHVILLE-CHILI CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
139 FAIRBANKS RD
CHURCHVILLE NY
14428-9782
US
IV. Provider business mailing address
139 FAIRBANKS RD
CHURCHVILLE NY
14428-9782
US
V. Phone/Fax
- Phone: 585-293-1800
- Fax:
- Phone: 585-293-1800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251300000X |
| Taxonomy | Local Education Agency (LEA) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
FRANKLIN
NARDONE
Title or Position: ASSISTANT SUPERINTENDENT
Credential:
Phone: 585-293-1800