Raccoon C S D 1

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

RACCOON C S D 1

Practice address

3601 State Rd Ste 161
Centralia, IL 62801-0000

Phone

(618) 532-4721

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Rench

Title

Director

Phone

(618) 532-4721

Specialties & licenses 1

Addresses

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": "1447452941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 STATE RD STE 161",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628010000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 STATE RD STE 161",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628010000",
            "telephone_number": "618-532-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RACCOON C S D 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-532-4721"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Centralia, IL
• Providers in Centralia, 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.