Organization Active NPI

MSD of Warren County

  • Local Education Agency (LEA)
  • Williamsport, IN
National Provider Identifier
1053404541
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MSD OF WARREN COUNTY
Practice address
101 N Monroe Street
Williamsport, IN 47993
Phone
(765) 762-3364
Fax
(765) 762-6623
NPI assigned
Oct 2, 2006
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Mr. Ralph Shrader
Title
Superintendent
Phone
(765) 762-3364

Specialties & licenses 1

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

Addresses

Primary practice location

101 N Monroe Street
Williamsport, IN 47993

Mailing address

101 N Monroe Street
PO Box 207
Williamsport, IN 47993
Phone (765) 762-3364

Other identifiers 1

IdentifierTypeStateIssuer
100197450MedicaidIN

National Provider Directory

National Provider Directory

Locations

101 N Monroe St
Williamsport, IN 47993
Phone (765) 762-3364

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1053404541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N MONROE STREET",
            "address_2": "PO BOX 207",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "47993",
            "telephone_number": "765-762-3364",
            "fax_number": "765-762-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N MONROE STREET",
            "city": "WILLIAMSPORT",
            "state": "IN",
            "postal_code": "47993",
            "telephone_number": "765-762-3364",
            "fax_number": "765-762-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSD OF WARREN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "SHRADER",
        "authorized_official_first_name": "RALPH",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "765-762-3364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100197450",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsport, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.