Provider Demographics
NPI:1679624456
Name:CLYDE-SAVANNAH CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:CLYDE-SAVANNAH CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEADLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-902-3000
Mailing Address - Street 1:215 GLASGOW ST
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NY
Mailing Address - Zip Code:14433-1222
Mailing Address - Country:US
Mailing Address - Phone:315-923-2560
Mailing Address - Fax:
Practice Address - Street 1:215 GLASGOW ST
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NY
Practice Address - Zip Code:14433-1222
Practice Address - Country:US
Practice Address - Phone:315-923-2560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01506376Medicaid