Berrien County Intermediate School District

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT

Practice address

711 Saint Joseph Ave
Berrien Springs, MI 49103-1583

Phone

(269) 471-1772

Fax

(269) 471-2941

NPI assigned

Jul 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Siegel

Title

Superintendent

Phone

(269) 471-7725

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780618819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ST JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031583",
            "telephone_number": "269-471-1772",
            "fax_number": "269-471-2941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031583",
            "telephone_number": "269-471-1772",
            "fax_number": "269-471-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRIEN COUNTY INTERMEDIATE SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIEGEL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "269-471-7725",
        "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": "2989239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Michael Balsis, D.D.S.
• Gregory Edward Bauman, D.D.S.
• Elizabeth Laird Baumann, LCSW
• Andrea R Beckford, DDS
• William Lamonte Bermeo, MD
• Berrien Dental PLC (Berrien Dental)
• Betsab Services, LLC (Rosehill Home)
• Better Life Solutions, LLC
• Blues Busters
• Alcyon Buxton

• Local Education Agency (LEA) in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Local Education Agency (LEA) in Michigan

• 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.