Organization Active NPI

State of Delaware

  • Local Education Agency (LEA)
  • Dover, DE
National Provider Identifier
1013051986
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STATE OF DELAWARE
Practice address
21 N Bradford St
Dover, DE 19904-3101
Phone
(302) 736-3300
Fax
(302) 736-3390
NPI assigned
Feb 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trish Hermance
Title
School Administrator
Phone
(302) 736-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

21 N Bradford St
Dover, DE 19904-3101

Mailing address

21 N Bradford St
Dover, DE 19904-3101
Phone (302) 736-3300

Other names 1

  • Campus Community Charter School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
DVH Dental Suite131 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Locations

21 N Bradford St
Dover, DE 19904
Phone (302) 736-0403

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1013051986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043101",
            "telephone_number": "302-736-3300",
            "fax_number": "302-736-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N BRADFORD ST",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043101",
            "telephone_number": "302-736-3300",
            "fax_number": "302-736-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF DELAWARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "HERMANCE",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "SCHOOL ADMINISTRATOR",
        "authorized_official_telephone_number": "302-736-3300"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campus Community Charter School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.