MEDICARE: RICHFIELD SPRINGS CSD

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	:	1174673461
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHFIELD SPRINGS CSD

Provider Business Mailing Address
First Line	:	PO BOX 631
Second Line	:	93 MAIN STREET
City	:	RICHFIELD SPRINGS
State	:	NY
Zip	:	13439-0631
Country	:	US
Telephone Number	:	315-858-0610
Fax Number	:

Provider Business Practice Location Address
First Line	:	93 MAIN ST
Second Line	:
City	:	RICHFIELD SPRINGS
State	:	NY
Zip	:	13439-4504
Country	:	US
Telephone Number	:	315-858-0610
Fax Number	:

Authorized Official
Title or Position	:	SCHOOL BUSINESS MANAGER
Name	:	MR. KURT V SUNDERLAND
Credential	:
Telephone Number	:	315-858-0610

Provider Enumeration Date	:	01/11/2007
Last Update Date	:	04/22/2015

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Directions to “RICHFIELD SPRINGS CSD ” Practice Location

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