MEDICARE: STOCKBRIDGE 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	:	1699839506
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STOCKBRIDGE VALLEY CENTRAL SCHOOL

Provider Business Mailing Address
First Line	:	PO BOX 732
Second Line	:	6011 WILLIAMS RD.
City	:	MUNNSVILLE
State	:	NY
Zip	:	13409-0732
Country	:	US
Telephone Number	:	315-495-4446
Fax Number	:	315-495-4492

Provider Business Practice Location Address
First Line	:	6011 WILLIAMS RD
Second Line	:
City	:	MUNNSVILLE
State	:	NY
Zip	:	13409-3111
Country	:	US
Telephone Number	:	315-495-4446
Fax Number	:	315-495-4492

Authorized Official
Title or Position	:	BUSINESS ADMINISTRATOR
Name	:	MRS. BETH S. LAMB
Credential	:
Telephone Number	:	315-495-4446

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	03/03/2015

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