Organization Active NPI

Chester Community Charter School

  • Local Education Agency (LEA)
  • Chester, PA
National Provider Identifier
1033154687
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CHESTER COMMUNITY CHARTER SCHOOL
Practice address
214 E 5TH St
Chester, PA 19013-4510
Phone
(610) 447-0400
Fax
(610) 876-5716
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Danielle Gureghian
Title
Exec. Vice President
Phone
(610) 447-0400

Specialties & licenses 1

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

Addresses

Primary practice location

214 E 5TH St
Chester, PA 19013-4510

Mailing address

214 E 5TH St
Chester, PA 19013-4510
Phone (610) 447-0400

Other identifiers 1

IdentifierTypeStateIssuer
1001255270002MedicaidPA

National Provider Directory

National Provider Directory

Locations

214 E 5th St
Chester, PA 19013
Phone (610) 447-0400

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033154687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 E 5TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134510",
            "telephone_number": "610-447-0400",
            "fax_number": "610-876-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 E 5TH ST",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190134510",
            "telephone_number": "610-447-0400",
            "fax_number": "610-876-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER COMMUNITY CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUREGHIAN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "EXEC. VICE PRESIDENT",
        "authorized_official_telephone_number": "610-447-0400"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001255270002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.