Active NPI
St Joseph Ogden CHSD 305
- Local Education Agency (LEA)
- Saint Joseph, IL
National Provider Identifier
1235344904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- License
- 001
- Legal business name
- ST JOSEPH OGDEN CHSD 305
- Practice address
- 301 N Main
Saint Joseph, IL 61873-0890 - Phone
- (217) 469-2586
- NPI assigned
- May 14, 2007
- 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
- Dr. Victor Zimmerman
- Title
- Supt
- Phone
- (217) 469-2586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | 001 | IL | Primary |
Addresses
Primary practice location
301 N Main
Saint Joseph, IL 61873-0890
Mailing address
PO Box 890
Saint Joseph, IL 61873-0890
National Provider Directory
National Provider DirectoryLocations
301 N Main St
Saint Joseph, IL 61873
Phone (217) 469-2586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1235344904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 890",
"city": "SAINT JOSEPH",
"state": "IL",
"postal_code": "618730890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N MAIN",
"city": "SAINT JOSEPH",
"state": "IL",
"postal_code": "618730890",
"telephone_number": "217-469-2586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST JOSEPH OGDEN CHSD 305",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-14",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "VICTOR",
"authorized_official_title_or_position": "SUPT",
"authorized_official_telephone_number": "217-469-2586",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": "IL",
"license": "001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Joseph, 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.