Organization Active NPI

Souderton Charter School Collaborative

  • Local Education Agency (LEA)
  • Souderton, PA
National Provider Identifier
1407806672
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
SOUDERTON CHARTER SCHOOL COLLABORATIVE
Practice address
110 E Broad St
Souderton, PA 18964-1276
Phone
(215) 721-4560
Fax
(215) 721-4071
NPI assigned
May 11, 2006
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
Ms. Wendy D Ormsby
Title
Director Organizational Dupt.
Phone
(215) 721-4560

Specialties & licenses 1

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

Addresses

Primary practice location

110 E Broad St
Souderton, PA 18964-1276

Mailing address

110 E Broad St
Souderton, PA 18964-1276
Phone (215) 721-4560

Other identifiers 1

IdentifierTypeStateIssuer
0018653620001MedicaidPA

National Provider Directory

National Provider Directory

Locations

110 E Broad St
Souderton, PA 18964
Phone (215) 721-4560

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407806672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641276",
            "telephone_number": "215-721-4560",
            "fax_number": "215-721-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E BROAD ST",
            "city": "SOUDERTON",
            "state": "PA",
            "postal_code": "189641276",
            "telephone_number": "215-721-4560",
            "fax_number": "215-721-4071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUDERTON CHARTER SCHOOL COLLABORATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ORMSBY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DIRECTOR ORGANIZATIONAL DUPT.",
        "authorized_official_telephone_number": "215-721-4560",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018653620001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Souderton, PA

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.