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NPI Code Detail

MEDICARE: WATERTOWN CITY SCHOOL DISTRICT

MEDICARE: WATERTOWN CITY SCHOOL DISTRICT
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
1251300000XLocal Education Agency (LEA)

Other Identifiers

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

General Provider Information

NPI Number : 1114081031
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATERTOWN CITY SCHOOL DISTRICT
Provider Business Mailing Address
First Line : 1351 WASHINGTON ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-4531
Country : US
Telephone Number : 315-785-3714
Fax Number : 315-785-6855
Provider Business Practice Location Address
First Line : 1351 WASHINGTON ST
Second Line :
City : WATERTOWN
State : NY
Zip : 13601-4531
Country : US
Telephone Number : 315-785-3714
Fax Number : 315-785-6855
Authorized Official
Title or Position : FISCAL OFFICER I
Name : MRS. DALE MORROW
Credential :
Telephone Number : 315-785-3714
Provider Enumeration Date : 12/22/2006
Last Update Date : 08/16/2012

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Directions to “WATERTOWN CITY SCHOOL DISTRICT ” Practice Location

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