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NPI Code Detail

MEDICARE: SHERBURNE-EARLVILLE CENTRAL SCHOOL

MEDICARE: SHERBURNE-EARLVILLE 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
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 : 1952466807
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHERBURNE-EARLVILLE CENTRAL SCHOOL
Provider Business Mailing Address
First Line : 15 SCHOOL ST
Second Line :
City : SHERBURNE
State : NY
Zip : 13460-9505
Country : US
Telephone Number : 607-674-7370
Fax Number : 607-674-9742
Provider Business Practice Location Address
First Line : 15 SCHOOL ST
Second Line :
City : SHERBURNE
State : NY
Zip : 13460-9505
Country : US
Telephone Number : 607-674-7370
Fax Number : 607-674-9742
Authorized Official
Title or Position : ASSISTANT SUPERINTENDENT
Name : MR. THOMAS STRAIN
Credential :
Telephone Number : 607-674-7370
Provider Enumeration Date : 12/22/2006
Last Update Date : 08/22/2020

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Directions to “SHERBURNE-EARLVILLE CENTRAL SCHOOL ” Practice Location

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