Rome CCSD #2

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ROME CCSD #2

Practice address

233 W South St
Dix, IL 62830-1403

Phone

(618) 266-7214

Fax

(618) 266-7902

NPI assigned

Mar 7, 2007

Last updated

Jun 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dwain Baldridge

Title

Superintendent

Phone

(618) 266-7214

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1003946039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W SOUTH ST",
            "city": "DIX",
            "state": "IL",
            "postal_code": "628301403",
            "telephone_number": "618-266-7214",
            "fax_number": "618-266-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W SOUTH ST",
            "city": "DIX",
            "state": "IL",
            "postal_code": "628301403",
            "telephone_number": "618-266-7214",
            "fax_number": "618-266-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROME CCSD #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BALDRIDGE",
        "authorized_official_first_name": "DWAIN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-266-7214",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Chelsea Ann Burris, APRN-CNP
• Samantha Jo Cameron, OTR/L
• Lori Foster

• Local Education Agency (LEA) in Dix, IL
• Providers in Dix, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.