Odin Grade SCH 122

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ODIN GRADE SCH 122

Practice address

100 Merritt
Odin, IL 62870-0250

Phone

(618) 532-4721

NPI assigned

Jun 5, 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

Kevin Rench

Title

Director

Phone

(618) 532-4721

Specialties & licenses 1

Addresses

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": "1093917569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MERRITT",
            "city": "ODIN",
            "state": "IL",
            "postal_code": "628700250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERRITT",
            "city": "ODIN",
            "state": "IL",
            "postal_code": "628700250",
            "telephone_number": "618-532-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODIN GRADE SCH 122",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-532-4721"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Beth Heinzmann, M.S. CCC-SLP
• Jessica Lyons, NP
• Marion County Ambulance Service Inc.
• Odin Health and Rehab Center LLC
• Odin Health and Rehab Center LLC
• Odin Health and Rehab Center LLC
• Odin HS 700
• Odin Public School District 722

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