Organization Active NPI

Chemung County Dept. of Social Services

  • Local Education Agency (LEA)
  • Elmira, NY
National Provider Identifier
1821142878
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CHEMUNG COUNTY DEPT. OF SOCIAL SERVICES
Practice address
425 Pennsylvania Ave
Elmira, NY 14904-1762
Phone
(607) 737-2979
Fax
(607) 737-5359
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Colleen Hetrick
Title
Ei/Preschool Fiscal Coordinator
Phone
(607) 737-2979

Specialties & licenses 1

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

Addresses

Primary practice location

425 Pennsylvania Ave
Elmira, NY 14904-1762

Mailing address

PO Box 588
Elmira, NY 14902-0588
Phone (607) 737-2979

Other identifiers 1

IdentifierTypeStateIssuer
01646051MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
County of Chemung5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1821142878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149020588",
            "telephone_number": "607-737-2979",
            "fax_number": "607-737-5359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PENNSYLVANIA AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149041762",
            "telephone_number": "607-737-2979",
            "fax_number": "607-737-5359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEMUNG COUNTY DEPT. OF SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "HETRICK",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "EI/PRESCHOOL FISCAL COORDINATOR",
        "authorized_official_telephone_number": "607-737-2979"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01646051",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.