Organization Active NPI

Lake Central School Corporation

  • Local Education Agency (LEA)
  • Saint John, IN
National Provider Identifier
1609143585
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
LAKE CENTRAL SCHOOL CORPORATION
Practice address
8260 Wicker Ave
Saint John, IN 46373-8876
Phone
(219) 365-8507
Fax
(219) 365-6406
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
Mr. Robert James
Title
Director of Business Services
Phone
(219) 365-8507

Specialties & licenses 1

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

Addresses

Primary practice location

8260 Wicker Ave
Saint John, IN 46373-8876

Mailing address

8260 Wicker Ave
Saint John, IN 46373-8876
Phone (219) 365-8507

Other identifiers 1

IdentifierTypeStateIssuer
100472010MedicaidIN

National Provider Directory

National Provider Directory

Locations

8260 Wicker Ave
Saint John, IN 46373
Phone (219) 365-8507

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1609143585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8260 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738876",
            "telephone_number": "219-365-8507",
            "fax_number": "219-365-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738876",
            "telephone_number": "219-365-8507",
            "fax_number": "219-365-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CENTRAL SCHOOL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS SERVICES",
        "authorized_official_telephone_number": "219-365-8507",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100472010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint John, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; 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.