North Wayne C.U. School Dist. #200

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

NORTH WAYNE C.U. SCHOOL DIST. #200

Practice address

206 Mulberry St.
Cisne, IL 62823

Phone

(618) 673-2151

Fax

(618) 673-2152

NPI assigned

Jan 30, 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

Mrs. Joyce A. Carson

Title

Superintendent

Phone

(618) 673-2151

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215073549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 MULBERRY ST.",
            "address_2": "P.O. BOX 235",
            "city": "CISNE",
            "state": "IL",
            "postal_code": "62823",
            "telephone_number": "618-673-2151",
            "fax_number": "618-673-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 MULBERRY ST.",
            "city": "CISNE",
            "state": "IL",
            "postal_code": "62823",
            "telephone_number": "618-673-2151",
            "fax_number": "618-673-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WAYNE C.U. SCHOOL DIST. #200",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-673-2151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Shae Bloemker
• Cisne Rehabilitation & Health Care Center LLC
• County of Clay
• Fairfield Memorial Hospital Association (Horizon Healthcare Cisne Medical Clinic)
• Christal Lynn Lewis, M.S., CCC-SLP
• North Wayne County Ambulance Service (Special Service Area #2)
• Petersen Health Operations, LLC (Cisne Rehabilitation & Health Center)
• Justin Revelo, LDN
• Si Speech Pathology Services
• Samantha Wheeler, MS CCC-SLP

• Student Health Clinic/Center in Cisne, IL
• Providers in Cisne, IL by specialty
• Student Health Clinic/Center 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.