Provider Demographics
NPI:1336275759
Name:TULLY CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:TULLY CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-696-6204
Mailing Address - Street 1:20 STATE ST
Mailing Address - Street 2:
Mailing Address - City:TULLY
Mailing Address - State:NY
Mailing Address - Zip Code:13159
Mailing Address - Country:US
Mailing Address - Phone:315-696-6204
Mailing Address - Fax:315-883-1343
Practice Address - Street 1:20 STATE ST
Practice Address - Street 2:
Practice Address - City:TULLY
Practice Address - State:NY
Practice Address - Zip Code:13159-3254
Practice Address - Country:US
Practice Address - Phone:315-696-6204
Practice Address - Fax:315-883-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01366632Medicaid