Opdyke-Belle Rive Grade School

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

OPDYKE-BELLE RIVE GRADE SCHOOL

Practice address

19380 E 4TH Street
Opdyke, IL 62872-0189

Phone

(618) 756-2492

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Debra L Lutz

Title

Administrative Secretary

Phone

(618) 756-2492

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1295864403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "OPDYKE",
            "state": "IL",
            "postal_code": "628720189",
            "telephone_number": "618-756-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19380 E 4TH STREET",
            "city": "OPDYKE",
            "state": "IL",
            "postal_code": "628720189",
            "telephone_number": "618-756-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPDYKE-BELLE RIVE GRADE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "LUTZ",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATIVE SECRETARY",
        "authorized_official_telephone_number": "618-756-2492"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsey Roth
• Mollie Schmitt

• Student in an Organized Health Care Education/Training Program in Opdyke, IL
• Providers in Opdyke, IL by specialty
• Student in an Organized Health Care Education/Training Program in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.