Organization Active NPI

Carterville Comm Unit Dist 5

  • Local Education Agency (LEA)
  • Carterville, IL
National Provider Identifier
1659587863
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
CARTERVILLE COMM UNIT DIST 5
Practice address
306 Virginia Ave
Carterville, IL 62918-1239
Phone
(618) 985-4826
NPI assigned
May 15, 2007
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
Tim Bleyer
Title
Superintendent
Phone
(618) 985-4826

Specialties & licenses 1

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

Addresses

Primary practice location

306 Virginia Ave
Carterville, IL 62918-1239

Mailing address

306 Virginia Ave
Carterville, IL 62918-1239

National Provider Directory

National Provider Directory

Locations

306 Virginia Ave
Carterville, IL 62918
Phone (618) 985-4826

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659587863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 VIRGINIA AVE",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 VIRGINIA AVE",
            "city": "CARTERVILLE",
            "state": "IL",
            "postal_code": "629181239",
            "telephone_number": "618-985-4826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARTERVILLE COMM UNIT DIST 5",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLEYER",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-985-4826"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carterville, 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.