Provider Demographics
NPI:1528105632
Name:MAPLEWOOD-COLONIE COMMON SCHOOL DISTRICT
Entity type:Organization
Organization Name:MAPLEWOOD-COLONIE COMMON SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-273-1512
Mailing Address - Street 1:32 COHOES ROAD
Mailing Address - Street 2:
Mailing Address - City:WATERVLIET
Mailing Address - State:NY
Mailing Address - Zip Code:12189-1898
Mailing Address - Country:US
Mailing Address - Phone:518-273-1512
Mailing Address - Fax:518-273-0269
Practice Address - Street 1:32 COHOES ROAD
Practice Address - Street 2:
Practice Address - City:WATERVLIET
Practice Address - State:NY
Practice Address - Zip Code:12189-1898
Practice Address - Country:US
Practice Address - Phone:518-273-1512
Practice Address - Fax:518-273-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
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
NY01379928Medicaid