Provider Demographics
NPI:1548315054
Name:VERNON VERONA SHERRILL CENTRAL SCHOOL
Entity type:Organization
Organization Name:VERNON VERONA SHERRILL CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GROUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-829-2520
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:VERONA
Mailing Address - State:NY
Mailing Address - Zip Code:13478-0128
Mailing Address - Country:US
Mailing Address - Phone:315-829-2520
Mailing Address - Fax:315-829-4949
Practice Address - Street 1:5275 STATE ROUTE 31
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:NY
Practice Address - Zip Code:13478-0128
Practice Address - Country:US
Practice Address - Phone:315-829-2520
Practice Address - Fax:315-829-4949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01409085Medicaid