Healthcare Provider Details

I. General information

NPI: 1073663894
Provider Name (Legal Business Name): OXFORD ACADEMY & CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 05/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 FORT HILL PARK
OXFORD NY
13830-0192
US

IV. Provider business mailing address

PO BOX 192 FORT HILL PARK
OXFORD NY
13830-0192
US

V. Phone/Fax

Practice location:
  • Phone: 607-843-2025
  • Fax: 607-843-3241
Mailing address:
  • Phone: 607-843-2025
  • Fax: 607-843-3241

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. JOSEPH L GUGINO
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 607-843-2025