Organization Active NPI

Anna Comm Consolidated Dist 37

  • Student Health Clinic/Center
  • Anna, IL
National Provider Identifier
1467623728
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
ANNA COMM CONSOLIDATED DIST 37
Practice address
301 S Green St
Anna, IL 62906-1126
Phone
(618) 833-6812
Fax
(618) 833-3205
NPI assigned
Mar 14, 2008
Last updated
Apr 20, 2008By the provider in NPPES
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
Mrs. Kathy D Eaves
Title
Bookkeeper
Phone
(618) 833-6812

Specialties & licenses 1

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

Addresses

Primary practice location

301 S Green St
Anna, IL 62906-1126

Mailing address

301 S Green St
Anna, IL 62906-1126
Phone (618) 833-6812

Other names 1

  • Anna CC Sch Dist 37 Other name

National Provider Directory

National Provider Directory
Tax ID family
Anna CC SCH Dist 372 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.

Locations

301 S Green St
Anna, IL 62906
Phone (618) 833-6812

NPI Registry JSON

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1467623728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S GREEN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061126",
            "telephone_number": "618-833-6812",
            "fax_number": "618-833-3205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S GREEN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061126",
            "telephone_number": "618-833-6812",
            "fax_number": "618-833-3205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNA COMM CONSOLIDATED DIST 37",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EAVES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "618-833-6812",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anna CC Sch Dist 37",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anna, 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.