Pinckneyville School District #50

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

PINCKNEYVILLE SCHOOL DISTRICT #50

Practice address

301 W Mulberry St
Pinckneyville, IL 62274-1370

Phone

(618) 357-9096

Fax

(618) 357-8731

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Tim P O'Leary

Title

Superintendent

Phone

(618) 357-9096

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1205006129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W MULBERRY ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741370",
            "telephone_number": "618-357-9096",
            "fax_number": "618-357-8731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MULBERRY ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741370",
            "telephone_number": "618-357-9096",
            "fax_number": "618-357-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKNEYVILLE SCHOOL DISTRICT #50",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "O'LEARY",
        "authorized_official_first_name": "TIM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-357-9096",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinckneyville Dental Care
• Pinckneyville Healthcare Center
• Pinckneyville High School
• Pinckneyville Nursing & Rehabilitation Center, LLC
• Pinckneyville Nursing & Rehabilitation Center, LLC
• Pinckneyville Volunteer Ambulance Service
• Miles Priebe
• Stephen C Priebe, PAC
• Meredith Kay Ramsey, OTR/L
• Donald Lee Renk, C.R.N.A.

• All providers in Pinckneyville, IL
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.