MEDICARE: RONDOUT VALLEY CENTRAL SCHOOL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1003966201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONDOUT VALLEY CENTRAL SCHOOL

Provider Business Mailing Address
First Line	:	PO BOX 9
Second Line	:
City	:	ACCORD
State	:	NY
Zip	:	12404-0009
Country	:	US
Telephone Number	:	845-687-2400
Fax Number	:	845-687-0670

Provider Business Practice Location Address
First Line	:	122 KYSERIKE RD
Second Line	:
City	:	ACCORD
State	:	NY
Zip	:	12404-0009
Country	:	US
Telephone Number	:	845-687-2400
Fax Number	:	845-687-0670

Authorized Official
Title or Position	:	SCHOOL BUSINESS OFFICIAL
Name	:	MS. DEBRA KOSINSKI
Credential	:
Telephone Number	:	845-687-2400

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	03/13/2015

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