Organization Active NPI

Odin Public School District 722

  • Local Education Agency (LEA)
  • Odin, IL
National Provider Identifier
1063792141
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ODIN PUBLIC SCHOOL DISTRICT 722
Practice address
102 S Merritt St
Odin, IL 62870-1112
Phone
(618) 775-8266
Fax
(618) 775-8268
NPI assigned
Aug 22, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Elaine Hemker
Title
Superintendent
Phone
(618) 775-8266

Specialties & licenses 1

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

Addresses

Primary practice location

102 S Merritt St
Odin, IL 62870-1112

Mailing address

102 S Merritt St
Odin, IL 62870-1112
Phone (618) 775-8266

Other identifiers 2

IdentifierTypeStateIssuer
376003909001MedicaidIL
376003879001MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063792141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MERRITT ST",
            "city": "ODIN",
            "state": "IL",
            "postal_code": "628701112",
            "telephone_number": "618-775-8266",
            "fax_number": "618-775-8268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MERRITT ST",
            "city": "ODIN",
            "state": "IL",
            "postal_code": "628701112",
            "telephone_number": "618-775-8266",
            "fax_number": "618-775-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIN PUBLIC SCHOOL DISTRICT 722",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HEMKER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-775-8266",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376003909001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376003879001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Odin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.