Provider Demographics
NPI:1194148429
Name:MOUNT MORRIS CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:MOUNT MORRIS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENAILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-658-3331
Mailing Address - Street 1:30 BONADONNA AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510-1439
Mailing Address - Country:US
Mailing Address - Phone:585-658-3331
Mailing Address - Fax:585-658-5030
Practice Address - Street 1:30 BONADONNA AVE
Practice Address - Street 2:
Practice Address - City:MOUNT MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510-1439
Practice Address - Country:US
Practice Address - Phone:585-658-3331
Practice Address - Fax:585-658-5030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01368845Medicaid