Organization Active NPI

Iberville Parish School Board

  • Student Health Clinic/Center
  • Plaquemine, LA
National Provider Identifier
1255510905
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
IBERVILLE PARISH SCHOOL BOARD
Practice address
58030 Plaquemine St
Plaquemine, LA 70764-2522
Phone
(225) 749-2360
NPI assigned
Oct 30, 2007
Last updated
Oct 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Martin Bera
Title
Superintendent
Phone
(225) 749-2360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

58030 Plaquemine St
Plaquemine, LA 70764-2522

Mailing address

58030 Plaquemine St
Plaquemine, LA 70764-2522
Phone (225) 749-2360

Other identifiers 1

IdentifierTypeStateIssuer
1415065MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Iberville Parish School Board2 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.

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1255510905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58030 PLAQUEMINE ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707642522",
            "telephone_number": "225-749-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58030 PLAQUEMINE ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707642522",
            "telephone_number": "225-749-2360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBERVILLE PARISH SCHOOL BOARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "BERA",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "225-749-2360"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1415065",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.