Prairieview Ogden CCSD 197

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PRAIRIEVIEW OGDEN CCSD 197

Practice address

106 N Vine St
Royal, IL 61871

Phone

(217) 583-3300

NPI assigned

Apr 13, 2007

Last updated

Aug 22, 2020By 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

Victor White

Title

Superintendent

Phone

(217) 583-3300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27",
            "city": "ROYAL",
            "state": "IL",
            "postal_code": "618710027",
            "telephone_number": "217-583-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N VINE ST",
            "city": "ROYAL",
            "state": "IL",
            "postal_code": "61871",
            "telephone_number": "217-583-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIEVIEW OGDEN CCSD 197",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-583-3300"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.