MEDICARE: MARION 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	:	1003973546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION CENTRAL SCHOOL

Provider Business Mailing Address
First Line	:	4034 WARNER RD
Second Line	:
City	:	MARION
State	:	NY
Zip	:	14505-9328
Country	:	US
Telephone Number	:	315-926-4228
Fax Number	:	315-926-5797

Provider Business Practice Location Address
First Line	:	4034 WARNER RD
Second Line	:
City	:	MARION
State	:	NY
Zip	:	14505-9328
Country	:	US
Telephone Number	:	315-926-4228
Fax Number	:	315-926-5797

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MR. JACOB REIMER
Credential	:
Telephone Number	:	315-926-2300

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	03/30/2015

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