Organization Active NPI

Cornwall-Lebanon School District

  • Local Education Agency (LEA)
  • Lebanon, PA
National Provider Identifier
1962628396
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CORNWALL-LEBANON SCHOOL DISTRICT
Practice address
105 E Evergreen Rd
Lebanon, PA 17042-7505
Phone
(717) 272-2031
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jennifer Wood
Title
Coordinator of Special Education
Phone
(717) 272-2031

Specialties & licenses 1

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

Addresses

Primary practice location

105 E Evergreen Rd
Lebanon, PA 17042-7505

Mailing address

105 E Evergreen Rd
Lebanon, PA 17042-7505
Phone (717) 272-2031

Other identifiers 1

IdentifierTypeStateIssuer
0012969560001MedicaidPA

National Provider Directory

National Provider Directory

Locations

105 E Evergreen Rd
Lebanon, PA 17042
Phone (717) 272-2031

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962628396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E EVERGREEN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427505",
            "telephone_number": "717-272-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E EVERGREEN RD",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427505",
            "telephone_number": "717-272-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNWALL-LEBANON SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "COORDINATOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "717-272-2031",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012969560001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.