MARBLEHEAD COMMUNITY CHARTER PUBLIC SCHOOL
NPI 1053544817
Local Education Agency (LEA) in Marblehead, MA

Q: What is Marblehead Community Charter Public School's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Active since August 27, 2009CLIA 22D2270087 · Waiver

17 LIME STREET, MARBLEHEAD, MA 01945(781) 631-0777 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marblehead Community Charter Public School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARBLEHEAD COMMUNITY CHARTER PUBLIC SCHOOL (NPI 1053544817) is a healthcare organization registered as a local education agency (lea) in Marblehead, Massachusetts and active in the NPI registry since August 2009. The organization holds a CLIA Waiver certificate valid through October 6, 2026 and lists Jed O'connor, Director Of Special Education, as its authorized official.

NPPES Registry Identity

NPI1053544817

Entity TypeOrganization

Primary Taxonomy251300000X

Legal Business NameMARBLEHEAD COMMUNITY CHARTER PUBLIC SCHOOL

Location Address17 LIME STREETMarblehead, MA 01945

Mailing Address17 Lime StreetMarblehead, MA 01945 · (781) 631-0777

Phone(781) 631-0777

Organization SubpartNo

Authorized OfficialJed O'connorDirector Of Special Education · (781) 631-0777

Enumeration DateAugust 27, 2009

✔ NPI 1053544817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLocal Education Agency (LEA)Agencies

Taxonomy Code251300000X

Definition

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.

17 LIME STREET, Marblehead, MA 01945

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2270087

Marblehead Community Charter Public (district) (04640000) · Marblehead, MA

Active · expires Oct 6, 2026

CLIA Number22D2270087

Laboratory TypeSchool/Student Health Service

Certificate Effective DateOctober 7, 2024

Certificate Expiration DateOctober 6, 2026

Laboratory DirectorJohn R. Purdy

Laboratory Phone(781) 631-0777

Laboratory LocationMarblehead Community Charter Public (district) (04640000)17 Lime St, Marblehead, MA 01945

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marblehead Community Charter Public School's NPI number?

The NPI number for Marblehead Community Charter Public School is 1053544817. It was assigned to this organization in the NPPES registry on August 27, 2009.

Where is Marblehead Community Charter Public School located?

Marblehead Community Charter Public School is located at 17 Lime Street, Marblehead, MA 01945. The listed phone number is (781) 631-0777.

What is Marblehead Community Charter Public School's specialty?

The primary specialty registered for this NPI is Local Education Agency (LEA) with taxonomy code 251300000X.

Does Marblehead Community Charter Public School hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2270087) is associated with this NPI, valid through October 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Marblehead Community Charter Public School was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.