NPIMap

Organization Active NPI

Willsboro Central School

  • Local Education Agency (LEA)
  • Willsboro, NY
National Provider Identifier
1659438695
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
WILLSBORO CENTRAL SCHOOL
Practice address
29 School Lane
Willsboro, NY 12996
Phone
(518) 963-4456
Fax
(518) 963-7577
NPI assigned
Jan 2, 2007
Last updated
Feb 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Stephen Broadwell
Title
Superintendent
Phone
(518) 963-4456

Specialties & licenses 1

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

Addresses

Primary practice location

29 School Lane
Willsboro, NY 12996

Mailing address

29 School Lane
PO Box 180
Willsboro, NY 12996
Phone (518) 963-4456

Other identifiers 1

IdentifierTypeStateIssuer
01469869MedicaidNY

National Provider Directory

National Provider Directory

Locations

29 School Ln
Willsboro, NY 12996
Phone (518) 963-4456

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1659438695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SCHOOL LANE",
            "address_2": "PO BOX 180",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "12996",
            "telephone_number": "518-963-4456",
            "fax_number": "518-963-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SCHOOL LANE",
            "city": "WILLSBORO",
            "state": "NY",
            "postal_code": "12996",
            "telephone_number": "518-963-4456",
            "fax_number": "518-963-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLSBORO CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "BROADWELL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "518-963-4456"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01469869",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willsboro, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.