Organization Active NPI

Bath Central School District

  • Registered Nurse
  • Bath, NY
National Provider Identifier
1730430901
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
574280-1 Issued in NY
Legal business name
BATH CENTRAL SCHOOL DISTRICT
Practice address
25 Ellas Ave
Bath, NY 14810-1107
Phone
(607) 776-4107
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
Michael Skelley
Title
Cse Chair
Phone
(607) 776-4107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 574280-1 NY Primary

Addresses

Primary practice location

25 Ellas Ave
Bath, NY 14810-1107

Mailing address

25 Ellas Ave
Bath, NY 14810-1107
Phone (607) 776-4107

Other identifiers 1

IdentifierTypeStateIssuer
1487781241MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Bath Central School District2 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

25 Ellas Ave
Bath, NY 14810
Phone (607) 776-3301

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1730430901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 ELLAS AVE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101107",
            "telephone_number": "607-776-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 ELLAS AVE",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148101107",
            "telephone_number": "607-776-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATH CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "SKELLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CSE CHAIR",
        "authorized_official_telephone_number": "607-776-4107"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "574280-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487781241",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.