Organization Active NPI

Jonesboro School District 43

  • Student Health Clinic/Center
  • Jonesboro, IL
National Provider Identifier
1285805705
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
JONESBORO SCHOOL DISTRICT 43
Practice address
309 Cook Ave
Jonesboro, IL 62952-1118
Phone
(618) 833-6651
Fax
(618) 833-8612
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Gary Hill
Title
Superintendent
Phone
(618) 833-6651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X IL Primary

Addresses

Primary practice location

309 Cook Ave
Jonesboro, IL 62952-1118

Mailing address

309 Cook Ave
Jonesboro, IL 62952-1118
Phone (618) 833-6651

Other names 1

  • Jonesboro CC School Dist 43 Other name

National Provider Directory

National Provider Directory
Tax ID family
Jonesboro CC School Dist 432 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1285805705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 COOK AVE",
            "city": "JONESBORO",
            "state": "IL",
            "postal_code": "629521118",
            "telephone_number": "618-833-6651",
            "fax_number": "618-833-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 COOK AVE",
            "city": "JONESBORO",
            "state": "IL",
            "postal_code": "629521118",
            "telephone_number": "618-833-6651",
            "fax_number": "618-833-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESBORO SCHOOL DISTRICT 43",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-833-6651",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonesboro CC School Dist 43",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jonesboro, IL

Sources for this page

  • 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.