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PORT JERVIS CITY SCHOOL DISTRICT NPI 1093864316


NPI Information

NPI: 1093864316
Provider Name: PORT JERVIS CITY SCHOOL DISTRICT
Classification: Local Education Agency (LEA) - 251300000X
Entity Type: Organization

CLIA Number: 33D2012193

Address:
9 THOMPSON ST
PORT JERVIS, NY
ZIP 12771
Phone: (845) 858-3185
Get Directions

PORT JERVIS CITY SCHOOL DISTRICT is a local education agency lea in Port Jervis, NY. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. PORT JERVIS CITY SCHOOL DISTRICT NPI is 1093864316. The provider is registered as an organization entity type.

The provider's business location address is:

9 THOMPSON ST
PORT JERVIS, NY
ZIP 12771-042
Phone: (845) 858-3185
Fax: (845) 858-4211

The provider's authorized official is Lisa Marie Buczek .
The authorized official title is Administrative Aide and has the following contact phone number (845) 858-3100.

The CLIA number assigned to this NPI record is 33D2012193 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 3/17/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251300000XLocal Education Agency (LEA)NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101380029MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.