Provider Demographics
NPI:1891842829
Name:ONEONTA CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:ONEONTA CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-433-8200
Mailing Address - Street 1:189 MAIN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-3510
Mailing Address - Country:US
Mailing Address - Phone:607-433-8200
Mailing Address - Fax:607-433-3641
Practice Address - Street 1:189 MAIN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-3510
Practice Address - Country:US
Practice Address - Phone:607-433-8200
Practice Address - Fax:607-433-3641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
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
NY01378629Medicaid