Provider Demographics
NPI:1285790717
Name:CAIRO DURHAM CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:CAIRO DURHAM CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WETHERBEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-622-8534
Mailing Address - Street 1:424 MAIN STREET
Mailing Address - Street 2:PO BOX 780
Mailing Address - City:CAIRO
Mailing Address - State:NY
Mailing Address - Zip Code:12413-0780
Mailing Address - Country:US
Mailing Address - Phone:518-622-8534
Mailing Address - Fax:518-622-9566
Practice Address - Street 1:424 MAIN STREET
Practice Address - Street 2:
Practice Address - City:CAIRO
Practice Address - State:NY
Practice Address - Zip Code:12413
Practice Address - Country:US
Practice Address - Phone:518-622-8534
Practice Address - Fax:518-622-9566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441565Medicaid