Organization Active NPI

East Side Health District

  • Public Health or Welfare Agency
  • East Saint Louis, IL
National Provider Identifier
1245443464
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
EAST SIDE HEALTH DISTRICT
Practice address
638 N 20TH St
East Saint Louis, IL 62205-1812
Phone
(618) 271-8722
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Elizabeth Patton
Title
Administrator
Phone
(618) 271-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

638 N 20TH St
East Saint Louis, IL 62205-1812

Mailing address

650 N 20TH St
East Saint Louis, IL 62205-1812
Phone (618) 271-8722

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0433871East Side Health District638 North 20TH Street, East Saint Louis, IL 62205Provider-performed microscopyJul 9, 2027

National Provider Directory

National Provider Directory

Locations

650 N 20th St
East Saint Louis, IL 62205
Phone (618) 271-8722

638 N 20th St
East Saint Louis, IL 62205
Phone (618) 271-8722

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245443464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N 20TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051812",
            "telephone_number": "618-271-8722",
            "fax_number": "618-271-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 N 20TH ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051812",
            "telephone_number": "618-271-8722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-271-8722",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Saint Louis, IL

Sources for this page

  • 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.