Joseph Charter School

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

JOSEPH CHARTER SCHOOL

Practice address

400 E Williams Ave
Joseph, OR 97846-2023

Phone

(541) 432-1100

NPI assigned

Oct 20, 2022

Last updated

Oct 20, 2022By 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. Lance Shane Homan

Title

Superintendent

Phone

(540) 263-1739

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1831816917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978462023",
            "telephone_number": "541-432-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E WILLIAMS AVE",
            "city": "JOSEPH",
            "state": "OR",
            "postal_code": "978462023",
            "telephone_number": "541-432-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH CHARTER SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "HOMAN",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "540-263-1739",
        "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": "936000995",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Jacqueline Gulzow, LMT
• Charles Jeffrey Harman, LPC
• Healthcare Naturally
• Nicole Margaret Hennes
• Jerry Clifton Ivy, PT
• Tammy Lynn Kruger, RN
• Crystal Renea Locke, LMT
• Laurie E McNall, RN
• Carrise Murray, CSWA, MSW
• New Heights Physical Therapy LLC

• Local Education Agency (LEA) in Joseph, OR
• Providers in Joseph, OR by specialty
• Local Education Agency (LEA) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.