Indian Lake CSD

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

INDIAN LAKE CSD

Practice address

28 W Main St
Indian Lake, NY 12842-1500

Phone

(518) 648-5024

Fax

(518) 648-6346

NPI assigned

Jan 23, 2007

Last updated

Mar 18, 2015By 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. Mark T Brand

Title

Superintendent

Phone

(518) 648-5024

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426636800000",
    "number": "1841344017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 W MAIN ST",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128421500",
            "telephone_number": "518-648-5024",
            "fax_number": "518-648-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 W MAIN ST",
            "city": "INDIAN LAKE",
            "state": "NY",
            "postal_code": "128421500",
            "telephone_number": "518-648-5024",
            "fax_number": "518-648-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN LAKE CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-03-18",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "518-648-5024",
        "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": "01382301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamilton County
• Home Health Care of Hamilton County, Inc. (Helping Hands Caregivers)
• Hudson Headwaters Health Network
• Hudson Headwaters Health Network
• Tracey Hunt, RN
• Indian Lake Volunteer Ambulance Corp Inc
• Noni Irish, LCSW
• Christopher H Jackson, PA-C
• Julie Lacek, RN
• Cynthia Jean Lane, N.P.

• Local Education Agency (LEA) in Indian Lake, NY
• Providers in Indian Lake, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.