Organization Active NPI

Susquehanna Valley Central School District

  • Local Education Agency (LEA)
  • Conklin, NY
National Provider Identifier
1780731273
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SUSQUEHANNA VALLEY CENTRAL SCHOOL DISTRICT
Practice address
1040 Conklin Road
Conklin, NY 13748-1136
Phone
(607) 775-9111
Fax
(607) 775-9110
NPI assigned
Jan 5, 2007
Last updated
Apr 1, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Ms. Maureen Kline
Title
Director of Special Education
Phone
(607) 775-9111

Specialties & licenses 1

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

Addresses

Primary practice location

1040 Conklin Road
Conklin, NY 13748-1136

Mailing address

1040 Conklin Road
Conklin, NY 13748-1136

Other identifiers 1

IdentifierTypeStateIssuer
01505531MedicaidNY

National Provider Directory

National Provider Directory

Locations

1040 Conklin Rd
Conklin, NY 13748
Phone (607) 775-9108

Practitioners & affiliated clinicians

Practitioners 4

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1780731273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CONKLIN ROAD",
            "city": "CONKLIN",
            "state": "NY",
            "postal_code": "137481136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CONKLIN ROAD",
            "city": "CONKLIN",
            "state": "NY",
            "postal_code": "137481136",
            "telephone_number": "607-775-9111",
            "fax_number": "607-775-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VALLEY CENTRAL SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "607-775-9111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01505531",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conklin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.