West Carroll Cusd 314

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WEST CARROLL CUSD 314

Practice address

801 South St
Thomson, IL 61285-7500

Phone

(815) 259-2735

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Christie Grimm

Title

Medicaid Admin

Phone

(815) 259-2735

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1235307471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SOUTH ST",
            "city": "THOMSON",
            "state": "IL",
            "postal_code": "612857500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SOUTH ST",
            "city": "THOMSON",
            "state": "IL",
            "postal_code": "612857500",
            "telephone_number": "815-259-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CARROLL CUSD 314",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "MEDICAID ADMIN",
        "authorized_official_telephone_number": "815-259-2735"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Hook, RD
• Teresa Nan Maidak, LCSW
• Thomson Fire Protection Dist Ambulance Association

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