Provider Demographics
NPI:1396895462
Name:TOWN OF HERKIMER HERKIMER CENTRAL SCHOOL
Entity type:Organization
Organization Name:TOWN OF HERKIMER HERKIMER CENTRAL SCHOOL
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:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-866-2230
Mailing Address - Street 1:801 W GERMAN ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-2100
Mailing Address - Country:US
Mailing Address - Phone:315-565-7172
Mailing Address - Fax:315-866-2234
Practice Address - Street 1:801 W GERMAN ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-2100
Practice Address - Country:US
Practice Address - Phone:315-565-7172
Practice Address - Fax:315-866-2234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01412188Medicaid