Community Cons SCH Dist 204

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

COMMUNITY CONS SCH DIST 204

Practice address

6067 State Route 154
Pinckneyville, IL 62274-3414

Phone

(618) 357-2419

Fax

(618) 357-3016

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chris Rigdon

Title

Superintendent

Phone

(618) 357-2419

Specialties & licenses 1

Addresses

Other names 1

• Community Consolid Sch Dis 204 Other name

Tax ID family

Community Cons SCH Dist 2042 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.

• Community Consolid SCH Dis 204

  • Student Health Clinic/Center
  • Pinckneyville, IL
  • NPI 1922279280
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ali Renee Epplin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Tamaroa, IL
  • NPI 1760900609
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497978464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6067 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743414",
            "telephone_number": "618-357-2419",
            "fax_number": "618-357-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6067 STATE ROUTE 154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622743414",
            "telephone_number": "618-357-2419",
            "fax_number": "618-357-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CONS SCH DIST 204",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "RIGDON",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-357-2419",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Consolid Sch Dis 204",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan R Bowen, OD
• Donald C Burr, M.D.
• Ralph Kane Chapman, DENTIST DMD
• Mariah Kathryn Charles, APN
• Clinic Pharmacy
• Community Consolid SCH Dis 204
• Robert J Davidson, M.D.
• James Christian Denny, D.C.
• Ashini Desai, PA
• Donald C. Burr Radiologist

• Student Health Clinic/Center in Pinckneyville, IL
• Providers in Pinckneyville, IL by specialty
• Student Health Clinic/Center in Illinois

• 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.