Cobden SCH Unit Dist 17

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

COBDEN SCH UNIT DIST 17

Practice address

413 N Appleknocker St
Cobden, IL 62920-2121

Phone

(618) 893-2313

Fax

(618) 893-4772

NPI assigned

Mar 21, 2007

Last updated

Apr 20, 2008By 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

Mr. Karl Sweitzer

Title

Superintendent

Phone

(618) 893-2313

Specialties & licenses 1

Addresses

Other names 1

• Comm Unit School Dist 186 Tri County Sp Ed Other name

Tax ID family

Cobden SCH Unit Dist 172 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.

• Cobden Unit School District 17

  • Student Health Clinic/Center
  • Cobden, IL
  • NPI 1497922462
  NPD tax ID

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1720104938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N APPLEKNOCKER ST",
            "city": "COBDEN",
            "state": "IL",
            "postal_code": "629202121",
            "telephone_number": "618-893-2313",
            "fax_number": "618-893-4772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N APPLEKNOCKER ST",
            "city": "COBDEN",
            "state": "IL",
            "postal_code": "629202121",
            "telephone_number": "618-893-2313",
            "fax_number": "618-893-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COBDEN SCH UNIT DIST 17",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SWEITZER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-893-2313",
        "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": "Comm Unit School Dist 186 Tri County Sp Ed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adapt of Illinois, Inc.
• Juan Eduardo Arreola Jr.
• Cobden Rehabilitation and Nursing Center, LLC
• Cobden Unit School District 17
• Cheryl E Connolly, LMT
• Mikayla Micole Dammerman
• Dee Dillon, LPN
• Sherry Saliba Dougherty, MS, CCC-SLP

• Student Health Clinic/Center in Cobden, IL
• Providers in Cobden, 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.