Norris City-Omaha-Enfield Csud 3

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

NORRIS CITY-OMAHA-ENFIELD CSUD 3

Practice address

409 E 3Rd St
Norris City, IL 62869-1069

Phone

(618) 378-3222

Fax

(618) 378-3286

NPI assigned

May 22, 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

Mr. Michael Phelps

Title

Superintendent

Phone

(618) 378-3222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053520304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 E 3RD ST",
            "city": "NORRIS CITY",
            "state": "IL",
            "postal_code": "628691069",
            "telephone_number": "618-378-3222",
            "fax_number": "618-378-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 E 3RD ST",
            "city": "NORRIS CITY",
            "state": "IL",
            "postal_code": "628691069",
            "telephone_number": "618-378-3222",
            "fax_number": "618-378-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORRIS CITY-OMAHA-ENFIELD CSUD 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-378-3222",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty L Lucas, LSW
• Hung The Nguyen, MD
• Norris City Community Ambulance Service
• Norris City Health Clinic
• Norris City Healthcare Clinic
• R & T Physical Therapy LLC
• Christina Roddy, NP
• Lisa Beth Rountree, PT
• Rhonda Lynn Sutton-Forston, PT
• Sarah K Usery, LSW

• Local Education Agency (LEA) in Norris City, IL
• Providers in Norris City, 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 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.