Provider Demographics
NPI:1063565992
Name:ROYALTON-HARTLAND CSD
Entity type:Organization
Organization Name:ROYALTON-HARTLAND CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRIFFITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-735-3655
Mailing Address - Street 1:54 STATE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14105-1114
Mailing Address - Country:US
Mailing Address - Phone:716-735-3655
Mailing Address - Fax:716-735-9826
Practice Address - Street 1:54 STATE ST
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:NY
Practice Address - Zip Code:14105-1114
Practice Address - Country:US
Practice Address - Phone:716-735-3655
Practice Address - Fax:716-735-9826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01381295Medicare ID - Type Unspecified