NPIMap

Organization Active NPI

Southwestern Illinois College Programs for Older Psreons

  • Public Health or Welfare Agency
  • Belleville, IL
National Provider Identifier
1326041708
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWESTERN ILLINOIS COLLEGE PROGRAMS FOR OLDER PSREONS
Practice address
201 N Church St
Belleville, IL 62220-4005
Phone
(618) 234-4410
Fax
(618) 234-8634
NPI assigned
May 31, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Vicki Rose
Title
Executive Director
Phone
(618) 234-4410

Specialties & licenses 1

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

Addresses

Primary practice location

201 N Church St
Belleville, IL 62220-4005

Mailing address

201 N Church St
Belleville, IL 62220-4005
Phone (618) 234-4410

National Provider Directory

National Provider Directory
Tax ID family
Alternative Transportation System2 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": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326041708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204005",
            "telephone_number": "618-234-4410",
            "fax_number": "618-234-8634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CHURCH ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622204005",
            "telephone_number": "618-234-4410",
            "fax_number": "618-234-8634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWESTERN ILLINOIS COLLEGE PROGRAMS FOR OLDER PSREONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-234-4410",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, 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.

Verify at the official NPI Registry.