Organization Active NPI

Newark Community High School #18

  • Local Education Agency (LEA)
  • Newark, IL
National Provider Identifier
1659424802
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
NEWARK COMMUNITY HIGH SCHOOL #18
Practice address
413 Chicago Rd
Newark, IL 60541-8900
Phone
(815) 695-5164
Fax
(815) 695-5752
NPI assigned
Jan 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Pauline Berggren
Title
Superintendent
Phone
(815) 695-5164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

413 Chicago Rd
Newark, IL 60541-8900

Mailing address

413 Chicago Rd
Newark, IL 60541-8900
Phone (815) 695-5164

National Provider Directory

National Provider Directory

Locations

413 Chicago Rd
Newark, IL 60541
Phone (815) 695-5164

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659424802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CHICAGO RD",
            "city": "NEWARK",
            "state": "IL",
            "postal_code": "605418900",
            "telephone_number": "815-695-5164",
            "fax_number": "815-695-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 CHICAGO RD",
            "city": "NEWARK",
            "state": "IL",
            "postal_code": "605418900",
            "telephone_number": "815-695-5164",
            "fax_number": "815-695-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK COMMUNITY HIGH SCHOOL #18",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BERGGREN",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "815-695-5164",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, IL

Sources for this page

  • 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.