Organization Active NPI

Chautauqua Lake Central School

  • Local Education Agency (LEA)
  • Mayville, NY
National Provider Identifier
1780735829
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CHAUTAUQUA LAKE CENTRAL SCHOOL
Practice address
100 N Erie St
Mayville, NY 14757-9755
Phone
(716) 753-5877
Fax
(716) 753-5876
NPI assigned
Jan 16, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Kathy Freeman
Title
Typist II
Phone
(716) 753-5877

Specialties & licenses 1

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

Addresses

Primary practice location

100 N Erie St
Mayville, NY 14757-9755

Mailing address

100 N Erie St
Mayville, NY 14757-9755
Phone (716) 753-5877

Other identifiers 1

IdentifierTypeStateIssuer
01364589MedicaidNY

National Provider Directory

National Provider Directory

Locations

100 N Erie St
Mayville, NY 14757
Phone (716) 753-5819

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1780735829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ERIE ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147579755",
            "telephone_number": "716-753-5877",
            "fax_number": "716-753-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N ERIE ST",
            "city": "MAYVILLE",
            "state": "NY",
            "postal_code": "147579755",
            "telephone_number": "716-753-5877",
            "fax_number": "716-753-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAUTAUQUA LAKE CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "TYPIST II",
        "authorized_official_telephone_number": "716-753-5877"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01364589",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.