Provider Demographics
NPI:1386772747
Name:TOWNS OF MARTINSBURG ET AL CENTRAL SCHOOL DISTRICT 1
Entity type:Organization
Organization Name:TOWNS OF MARTINSBURG ET AL CENTRAL SCHOOL DISTRICT 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-348-2511
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:TURIN
Mailing Address - State:NY
Mailing Address - Zip Code:13473-0010
Mailing Address - Country:US
Mailing Address - Phone:315-348-2511
Mailing Address - Fax:
Practice Address - Street 1:4264 EAST ROAD
Practice Address - Street 2:
Practice Address - City:TURIN
Practice Address - State:NY
Practice Address - Zip Code:13473
Practice Address - Country:US
Practice Address - Phone:315-348-2511
Practice Address - Fax:315-348-2510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01381548Medicaid