MEDICARE: BEMUS POINT 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
1	251300000X	Local Education Agency (LEA)		NY

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	:	1871659722
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEMUS POINT CENTRAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	3980 DUTCH HOLLOW RD.
Second Line	:	PO BOX 468
City	:	BEMUS POINT
State	:	NY
Zip	:	14712
Country	:	US
Telephone Number	:	716-386-2375
Fax Number	:	716-386-2376

Provider Business Practice Location Address
First Line	:	3980 DUTCH HOLLOW RD.
Second Line	:
City	:	BEMUS POINT
State	:	NY
Zip	:	14712
Country	:	US
Telephone Number	:	716-386-2375
Fax Number	:	716-386-2376

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. CHARITY MUCHA
Credential	:
Telephone Number	:	716-386-2375

Provider Enumeration Date	:	12/28/2006
Last Update Date	:	03/20/2015

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