Thomasboro CCGS

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

THOMASBORO CCGS

Practice address

201 N Phillips St
Thomasboro, IL 61878-9784

Phone

(217) 643-3275

NPI assigned

Mar 29, 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

Mrs. Michelle Ramage

Title

Superintendent

Phone

(217) 643-3275

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851410880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N PHILLIPS ST",
            "city": "THOMASBORO",
            "state": "IL",
            "postal_code": "618789784",
            "telephone_number": "217-643-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N PHILLIPS ST",
            "city": "THOMASBORO",
            "state": "IL",
            "postal_code": "618789784",
            "telephone_number": "217-643-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASBORO CCGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAMAGE",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-643-3275",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shardai Nichole Shelton, FNP

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