St Joseph Ccsd169

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

ST JOSEPH CCSD169

Practice address

409 S 5TH St
Saint Joseph, IL 61873-9041

Phone

(217) 469-2291

Fax

(217) 469-8906

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Todd Pence

Title

Superintendent

Phone

(217) 469-2291

Specialties & licenses 1

Addresses

Tax ID family

St Joseph CCSD 1692 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.

• St. Joseph CCSD #169

  • Student in an Organized Health Care Education/Training Program
  • Saint Joseph, IL
  • NPI 1326217100
  NPD tax ID

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689899288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618730409",
            "telephone_number": "217-469-2291",
            "fax_number": "217-469-8906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 5TH ST",
            "city": "SAINT JOSEPH",
            "state": "IL",
            "postal_code": "618739041",
            "telephone_number": "217-469-2291",
            "fax_number": "217-469-8906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH CCSD169",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PENCE",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-469-2291"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Orcutt, MS, RD, LDN
• River's Edge Therapy PLLC
• Emily Jo Roberts, M.S., CCC-SLP
• Carole Lynn Rogers, CNA
• Carol Lynn Shriver, MS, RD, LDN
• St Joseph Ogden CHSD 305
• St. Joseph CCSD #169
• St. Joseph Drugs, Inc (St. Joseph Apothecary)
• St. Joseph Drugs, Inc. (St. Joseph Apothecary)
• The Residential Developers, Inc.

• Student Health Clinic/Center in Saint Joseph, IL
• Providers in Saint Joseph, 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 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.