Organization Active NPI

Indian River Central School District

  • Local Education Agency (LEA)
  • Philadelphia, NY
National Provider Identifier
1114082856
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
INDIAN RIVER CENTRAL SCHOOL DISTRICT
Practice address
32735B County RT 29
Philadelphia, NY 13673
Phone
(315) 642-3441
Fax
(614) 642-3738
NPI assigned
Dec 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. James R Koch
Title
District Business Manager
Phone
(315) 642-3441

Specialties & licenses 1

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

Addresses

Primary practice location

32735B County RT 29
Philadelphia, NY 13673

Mailing address

32735B County RT 29
Philadelphia, NY 13673
Phone (315) 642-3441

Other identifiers 1

IdentifierTypeStateIssuer
01423858MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Indian River Central School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

32735 County Route 29
Ste B
Philadelphia, NY 13673
Phone (315) 642-3441

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114082856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32735B COUNTY RT 29",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "13673",
            "telephone_number": "315-642-3441",
            "fax_number": "614-642-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32735B COUNTY RT 29",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "13673",
            "telephone_number": "315-642-3441",
            "fax_number": "614-642-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN RIVER CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DISTRICT BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-642-3441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01423858",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, NY

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.