Provider Demographics
NPI:1386796357
Name:TRUMANSBURG CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:TRUMANSBURG CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL PERSONNEL SERVICE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KEHOE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-387-7551
Mailing Address - Street 1:100 WHIG ST
Mailing Address - Street 2:DISTRICT OFFICE
Mailing Address - City:TRUMANSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14886-9152
Mailing Address - Country:US
Mailing Address - Phone:607-387-7551
Mailing Address - Fax:607-387-2807
Practice Address - Street 1:100 WHIG ST
Practice Address - Street 2:DISTRICT OFFICE
Practice Address - City:TRUMANSBURG
Practice Address - State:NY
Practice Address - Zip Code:14886-9152
Practice Address - Country:US
Practice Address - Phone:607-387-7551
Practice Address - Fax:607-387-2807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
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
NY01383119Medicaid