Provider Demographics
NPI:1063559656
Name:WESTPORT CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WESTPORT CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:TROMBLEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-962-8244
Mailing Address - Street 1:25 SISCO STREET
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:NY
Mailing Address - Zip Code:12993
Mailing Address - Country:US
Mailing Address - Phone:518-962-8244
Mailing Address - Fax:518-962-4571
Practice Address - Street 1:25 SISCO STREET
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:NY
Practice Address - Zip Code:12993
Practice Address - Country:US
Practice Address - Phone:518-962-8244
Practice Address - Fax:518-962-4571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01383513Medicaid