Organization Active NPI

Pleasant Hill School Dist 69

  • Local Education Agency (LEA)
  • Peoria, IL
National Provider Identifier
1043412596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
PLEASANT HILL SCHOOL DIST 69
Practice address
3717 W Malone St
Peoria, IL 61605-1263
Phone
(309) 697-0880
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jane Winter Clark
Title
Director
Phone
(309) 697-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

3717 W Malone St
Peoria, IL 61605-1263

Mailing address

3717 W Malone St
Peoria, IL 61605-1263

National Provider Directory

National Provider Directory

Locations

3717 W Malone St
Peoria, IL 61605
Phone (309) 637-6829

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043412596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 W MALONE ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616051263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 W MALONE ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616051263",
            "telephone_number": "309-697-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT HILL SCHOOL DIST 69",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINTER CLARK",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-697-0880"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • 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.