Provider Demographics
NPI:1487781241
Name:BATH CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:BATH CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCFETRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:607-776-3301
Mailing Address - Street 1:25 ELLIS AVE
Mailing Address - Street 2:
Mailing Address - City:BATH
Mailing Address - State:NY
Mailing Address - Zip Code:14810-1107
Mailing Address - Country:US
Mailing Address - Phone:607-776-3301
Mailing Address - Fax:607-776-2926
Practice Address - Street 1:25 ELLIS AVE
Practice Address - Street 2:
Practice Address - City:BATH
Practice Address - State:NY
Practice Address - Zip Code:14810-1107
Practice Address - Country:US
Practice Address - Phone:607-776-3301
Practice Address - Fax:607-776-2926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01407056Medicaid