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NPI Code Detail

MEDICARE: RED CREEK CENTRAL SCHOOL DISTRICT

MEDICARE: RED CREEK CENTRAL 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 : 1538207345
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED CREEK CENTRAL SCHOOL DISTRICT
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : RED CREEK
State : NY
Zip : 13143-0190
Country : US
Telephone Number : 315-754-2045
Fax Number :
Provider Business Practice Location Address
First Line : 6815 CHURCH STREET
Second Line :
City : RED CREEK
State : NY
Zip : 13143-0190
Country : US
Telephone Number : 315-754-2045
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF SPECIAL EDUCATION
Name : MRS. JULIA HERBST
Credential :
Telephone Number : 315-754-2045
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/22/2020

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Directions to “RED CREEK CENTRAL SCHOOL DISTRICT ” Practice Location

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