Active NPI
Odin Public School District 722
- Local Education Agency (LEA)
- Odin, IL
National Provider Identifier
1063792141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376003909001 | Medicaid | IL | |
| 376003879001 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI 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.