Provider Demographics
NPI:1285783704
Name:MEDINA CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:MEDINA CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:M
Authorized Official - Last Name:EVOY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-798-2701
Mailing Address - Street 1:ONE MUSTANG DRIVE
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:NY
Mailing Address - Zip Code:14103
Mailing Address - Country:US
Mailing Address - Phone:585-798-2701
Mailing Address - Fax:585-798-3108
Practice Address - Street 1:ONE MUSTANG DRIVE
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:NY
Practice Address - Zip Code:14103
Practice Address - Country:US
Practice Address - Phone:585-798-2701
Practice Address - Fax:585-798-3108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)