Provider Demographics
NPI:1396884367
Name:NEWCOMB CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:NEWCOMB CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CLARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HULTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-582-3341
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:NEWCOMB
Mailing Address - State:NY
Mailing Address - Zip Code:12852-0418
Mailing Address - Country:US
Mailing Address - Phone:518-582-3341
Mailing Address - Fax:518-582-2163
Practice Address - Street 1:5535 STATE ROUTE 28N
Practice Address - Street 2:
Practice Address - City:NEWCOMB
Practice Address - State:NY
Practice Address - Zip Code:12852
Practice Address - Country:US
Practice Address - Phone:518-582-3341
Practice Address - Fax:518-582-2163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
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
NY01384087Medicaid