Sandoval CC SCH Dist 501

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

SANDOVAL CC SCH DIST 501

Practice address

859 W Missouri Ave
Sandoval, IL 62882-1031

Phone

(618) 532-4721

NPI assigned

Jun 5, 2007

Organization subpart

No

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

Authorized official

Name

Kevin Rench

Title

Director

Phone

(618) 532-4721

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851593313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 W MISSOURI AVE",
            "city": "SANDOVAL",
            "state": "IL",
            "postal_code": "628821031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 W MISSOURI AVE",
            "city": "SANDOVAL",
            "state": "IL",
            "postal_code": "628821031",
            "telephone_number": "618-532-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDOVAL CC SCH DIST 501",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENCH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "618-532-4721"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ruth Hall, NP-C
• William J Henson, LCSW
• Sandoval Volunteer Fire Dept
• Rama M Seats
• Serenitypass Holistic Health PLLC
• Kenzi Wood

• Local Education Agency (LEA) in Sandoval, IL
• Providers in Sandoval, IL by specialty
• Local Education Agency (LEA) 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.