1. Home
  2. Directory
  3. New York
  4. Canton
  5. Local Education Agency Lea
  6. NPI Profile

ST LAWRENCE CO PUBLIC HEALTH - PRESCHOOL
NPI 1104985167
Local Education Agency (LEA) in Canton, NY

Active since December 06, 2006CLIA Certified · 2 labs
80 STATE HIGHWAY 310, SUITE 2, CANTON, NY 13617(315) 386-2325(315) 386-2203 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St Lawrence Co Public Health - Preschool NPPES

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

ST LAWRENCE CO PUBLIC HEALTH - PRESCHOOL (NPI 1104985167) is a healthcare organization registered as a local education agency (lea) in Canton, New York and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Debra Bridges, Fiscal Manager, as its authorized official.

NPPES Registry Identity

NPI1104985167
Entity TypeOrganization
Primary Taxonomy251300000X
Legal Business NameST LAWRENCE COUNTY
Location Address80 STATE HIGHWAY 310, SUITE 2Canton, NY 13617-1476
Mailing Address80 State Highway 310, Suite 2Canton, NY 13617-1476 · (315) 386-2325 · Fax (315) 386-2203
Phone(315) 386-2325
Fax(315) 386-2203
Organization SubpartYes
Authorized OfficialDebra BridgesFiscal Manager · (315) 229-3405
Enumeration DateDecember 6, 2006
Last NPPES UpdateOctober 6, 2014
✔ NPI 1104985167 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.
80 STATE HIGHWAY 310, Canton, NY 13617
Open in Google Maps ↗

Other Names 1

Doing Business AsSt Lawrence Co Public Health - Preschool

Other Identifiers 1

Medicaid01430919NY

CLIA Laboratory Certificates CMS CLIA 2

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 33D1004158

St Lawrence County Public Health Dept · Canton, NY
Active · expires Mar 26, 2027
CLIA Number33D1004158
Laboratory TypeHealth Fair
Certificate Effective DateAugust 20, 2008
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Thivisa Rajagopal
Laboratory Phone(315) 386-2325
Laboratory LocationSt Lawrence County Public Health Dept80 State Hwy 310 - Suite 2, Canton, NY 13617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2271769

St Lawrence County Addiction Services · Canton, NY
Active · expires Mar 26, 2027
CLIA Number33D2271769
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 8, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Deborah Norris
Laboratory Phone(315) 386-2189
Laboratory LocationSt Lawrence County Addiction Services80 State Hwy 310 - Suite 1, Canton, NY 13617
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAWN M COLBERT LMSW
Social Worker
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
MS. MAVIS A BUSH
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MS. REGINA M WILLETTE RPA C
Midwife
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
MISS RONEE K CREE CERPA
Peer Specialist
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2189
DEBORAH ANN WHITE
Registered Nurse
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2167
JAMIE L REED
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325
MS. RUTHANN M MATTHEWS CASAC
Counselor (Addiction (Substance Use Disorder))
80 STATE HIGHWAY 310, SUITE 1
CANTON, NY 13617
St. Lawrence County (315) 386-2189
ANDREA HAYDEN
Contractor
80 STATE HIGHWAY 310
CANTON, NY 13617
St. Lawrence County (315) 386-2325

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 St Lawrence County's NPI number?

The NPI number for St Lawrence County is 1104985167. It was assigned to this organization in the NPPES registry on December 6, 2006. The provider is doing business as St Lawrence Co Public Health - Preschool.

Where is St Lawrence County located?

St Lawrence County is located at 80 State Highway 310 Suite 2, Canton, NY 13617. The listed phone number is (315) 386-2325.

What is St Lawrence County's specialty?

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

Does St Lawrence County hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for St Lawrence County was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.