Provider Demographics
NPI:1306999800
Name:WALTON CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WALTON CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:T
Authorized Official - Middle Name:GREGORY
Authorized Official - Last Name:DALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-865-4116
Mailing Address - Street 1:47-49 STOCKTON AVENUE
Mailing Address - Street 2:
Mailing Address - City:WALTON
Mailing Address - State:NY
Mailing Address - Zip Code:13865
Mailing Address - Country:US
Mailing Address - Phone:607-865-4116
Mailing Address - Fax:607-865-8568
Practice Address - Street 1:47-49 STOCKTON AVE
Practice Address - Street 2:
Practice Address - City:WALTON
Practice Address - State:NY
Practice Address - Zip Code:13856-1475
Practice Address - Country:US
Practice Address - Phone:607-865-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01380967Medicaid
NY01380969Medicaid