Provider Demographics
NPI:1285791020
Name:CHURCHVILLE-CHILI CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:CHURCHVILLE-CHILI CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANKLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NARDONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-293-1800
Mailing Address - Street 1:139 FAIRBANKS RD
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14428-9782
Mailing Address - Country:US
Mailing Address - Phone:585-293-1800
Mailing Address - Fax:
Practice Address - Street 1:139 FAIRBANKS RD
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14428-9782
Practice Address - Country:US
Practice Address - Phone:585-293-1800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
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
NY01506367Medicaid