NPIMap

Organization Active NPI

St Lawrence County

  • Local Education Agency (LEA)
  • Canton, NY
National Provider Identifier
1104985167
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ST LAWRENCE COUNTY
Practice address
80 State Highway 310
Suite 2
Canton, NY 13617-1476
Phone
(315) 386-2325
Fax
(315) 386-2203
NPI assigned
Dec 6, 2006
Organization subpart
Yes
Parent organization
ST LAWRENCE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Debra Bridges, MBA
Title
Fiscal Manager
Phone
(315) 229-3405

Specialties & licenses 1

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

Addresses

Primary practice location

80 State Highway 310
Suite 2
Canton, NY 13617-1476

Mailing address

80 State Highway 310
Suite 2
Canton, NY 13617-1476
Phone (315) 386-2325

Other identifiers 1

IdentifierTypeStateIssuer
01430919MedicaidNY

Other names 1

  • St Lawrence Co Public Health - Preschool Doing business as

National Provider Directory

National Provider Directory
Tax ID family
St Lawrence County Publ5 organizations share this tax ID, including this one
Part of
St Lawrence County Publ

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1104985167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 STATE HIGHWAY 310",
            "address_2": "SUITE 2",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171476",
            "telephone_number": "315-386-2325",
            "fax_number": "315-386-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 STATE HIGHWAY 310",
            "address_2": "SUITE 2",
            "city": "CANTON",
            "state": "NY",
            "postal_code": "136171476",
            "telephone_number": "315-386-2325",
            "fax_number": "315-386-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LAWRENCE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST LAWRENCE COUNTY",
        "enumeration_date": "2006-12-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "315-229-3405",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01430919",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lawrence Co Public Health - Preschool",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.