NPIMap

Organization Active NPI

Jefferson County Schools

  • Local Education Agency (LEA)
  • Charles Town, WV
National Provider Identifier
1639367402
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
JEFFERSON COUNTY SCHOOLS
Practice address
110 Mordington Ave.
Charles Town, WV 25414-0987
Phone
(304) 725-9741
Fax
(304) 267-3599
NPI assigned
Oct 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Authorized official

Name
Ms. Theresa A. Stewart
Title
Medicaid Coordintor
Phone
(304) 267-3595

Specialties & licenses 1

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

Addresses

Primary practice location

110 Mordington Ave.
Charles Town, WV 25414-0987

Mailing address

109 S. College St.
Resa VIII
Martinsburg, WV 25401
Phone (304) 267-3595

Other identifiers 1

IdentifierTypeStateIssuer
0012254000OtherWVPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Jefferson County Board of Education2 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

110 Mordington Ave
Charles Town, WV 25414
Phone 3042673595 ext. 157

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1639367402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S. COLLEGE ST.",
            "address_2": "RESA VIII",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MORDINGTON AVE.",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254140987",
            "telephone_number": "304-725-9741",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY SCHOOLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MEDICAID COORDINTOR",
        "authorized_official_telephone_number": "304-267-3595",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0012254000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.