West Prairie Cusd 103

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

WEST PRAIRIE CUSD 103

Practice address

204 S Hun St
Colchester, IL 62326-1129

Phone

(309) 837-3911

NPI assigned

Jun 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bill Pumo

Title

Director

Phone

(309) 837-3911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386846848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 S HUN ST",
            "city": "COLCHESTER",
            "state": "IL",
            "postal_code": "623261129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S HUN ST",
            "city": "COLCHESTER",
            "state": "IL",
            "postal_code": "623261129",
            "telephone_number": "309-837-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST PRAIRIE CUSD 103",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUMO",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-837-3911"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula R Icenogle
• Ashley M Martin, APN
• Memorial Hospital Association
• Jennifer D Percy
• Bridget Renee Turner
• Melissa Kristyne Wisslead

• Local Education Agency (LEA) in Colchester, IL
• Providers in Colchester, IL by specialty
• Local Education Agency (LEA) in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.