1477670479 NPI number — ANDES CENTRAL SCHOOL

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477670479 NPI number — ANDES CENTRAL SCHOOL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ANDES CENTRAL SCHOOL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1477670479
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 248
Provider Second Line Business Mailing Address:
85 DELAWARE AVENUE
Provider Business Mailing Address City Name:
ANDES
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
13731-0248
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-676-3166
Provider Business Mailing Address Fax Number:
845-676-3181

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85 DELAWARE AVENUE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANDES
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
13731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-676-3166
Provider Business Practice Location Address Fax Number:
845-676-3181
Provider Enumeration Date:
03/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KLUEG
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
Authorized Official Title or Position:
CSE CHAIRPERSON
Authorized Official Telephone Number:
845-676-3166

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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