Organization Active NPI

Gouverneur Central School

  • Local Education Agency (LEA)
  • Gouverneur, NY
National Provider Identifier
1972873917
Registry record updated Jan 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
2734491 Issued in NY
Legal business name
GOUVERNEUR CENTRAL SCHOOL
Practice address
111 Gleason St
Gouverneur, NY 13642-1217
Phone
(315) 287-2260
NPI assigned
Jan 9, 2012
Last updated
Jan 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2012

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

Authorized official

Name
Charity Zawatski
Title
Compliance Officer
Phone
(315) 287-1949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 2734491 NY Primary

Addresses

Primary practice location

111 Gleason St
Gouverneur, NY 13642-1217

Mailing address

111 Gleason St
Gouverneur, NY 13642-1217
Phone (315) 287-2260

Other identifiers 1

IdentifierTypeStateIssuer
01382127MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Gouverneur Central School8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1972873917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 GLEASON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421217",
            "telephone_number": "315-287-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 GLEASON ST",
            "city": "GOUVERNEUR",
            "state": "NY",
            "postal_code": "136421217",
            "telephone_number": "315-287-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOUVERNEUR CENTRAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "ZAWATSKI",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "315-287-1949"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "2734491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01382127",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gouverneur, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.