NPIMap

Organization Active NPI

Peoria County Court Administration

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Peoria, IL
National Provider Identifier
1629379359
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
Legal business name
PEORIA COUNTY COURT ADMINISTRATION
Practice address
324 Main St Ste 215
Peoria, IL 61602-2334
Phone
(309) 677-6230
Fax
(309) 672-6957
NPI assigned
Nov 11, 2010
Organization subpart
Yes
Parent organization
PEORIA COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Mr. Randy J. Barton
Title
Assistant Court Administrator
Phone
(309) 677-6230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X IL Primary

Addresses

Primary practice location

324 Main St Ste 215
Peoria, IL 61602-2334

Mailing address

324 Main St Ste 215
Peoria, IL 61602-2334
Phone (309) 677-6230

National Provider Directory

National Provider Directory
Tax ID family
Peoria City Health Dept4 organizations share this tax ID, including this one
Part of
Peoria City Health Dept

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

324 Main St
Ste 215
Peoria, IL 61602
Phone (309) 677-6230

NPI Registry JSON

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1629379359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST STE 215",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616022334",
            "telephone_number": "309-677-6230",
            "fax_number": "309-672-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 MAIN ST STE 215",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616022334",
            "telephone_number": "309-677-6230",
            "fax_number": "309-672-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA COUNTY COURT ADMINISTRATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PEORIA COUNTY",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "ASSISTANT COURT ADMINISTRATOR",
        "authorized_official_telephone_number": "309-677-6230",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.