Healthcare Provider Details

I. General information

NPI: 1275686107
Provider Name (Legal Business Name): MEXICO CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 06/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 ACADEMY ST
MEXICO NY
13114-3010
US

IV. Provider business mailing address

40 ACADEMY ST
MEXICO NY
13114-3010
US

V. Phone/Fax

Practice location:
  • Phone: 315-963-8400
  • Fax: 315-963-3325
Mailing address:
  • Phone: 315-963-8400
  • Fax: 315-963-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM B BURKE
Title or Position: EXECUTIVE DIRECTOR OF MGT SERVICES
Credential:
Phone: 315-963-8400