Organization Active NPI

Jackson County Intermediate School District

  • Local Education Agency (LEA)
  • Jackson, MI
National Provider Identifier
1205851623
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
JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT
Practice address
6700 Browns Lake Rd
Jackson, MI 49201-8379
Phone
(517) 768-5200
Fax
(517) 768-5261
NPI assigned
Jul 13, 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. John Graves, PH.D.
Title
Superintendent
Phone
(517) 768-5200

Specialties & licenses 1

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

Addresses

Primary practice location

6700 Browns Lake Rd
Jackson, MI 49201-8379

Mailing address

6700 Browns Lake Road
Jackson, MI 49201-8379
Phone (517) 768-5200

National Provider Directory

National Provider Directory

Locations

6700 Browns Lake Rd
Jackson, MI 49201
Phone (517) 768-5200

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205851623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BROWNS LAKE ROAD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018379",
            "telephone_number": "517-768-5200",
            "fax_number": "517-768-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BROWNS LAKE RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492018379",
            "telephone_number": "517-768-5200",
            "fax_number": "517-768-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON COUNTY INTERMEDIATE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "517-768-5200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

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.