Provider Demographics
NPI:1548327406
Name:GLENS FALLS COMMON SCHOOL
Entity type:Organization
Organization Name:GLENS FALLS COMMON SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEMINGWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-792-3231
Mailing Address - Street 1:120 LAWRENCE ST
Mailing Address - Street 2:
Mailing Address - City:GLENS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12801-3739
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:120 LAWRENCE ST
Practice Address - Street 2:
Practice Address - City:GLENS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12801-3739
Practice Address - Country:US
Practice Address - Phone:518-792-3231
Practice Address - Fax:518-792-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377568Medicaid