Carrollton Cu School Dist 1

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CARROLLTON CU SCHOOL DIST 1

Practice address

702 5TH St
Carrollton, IL 62016-1404

Phone

(217) 245-7174

NPI assigned

Jun 5, 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

Gina Eckhouse

Title

Director

Phone

(217) 245-7174

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": "1891997359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 5TH ST",
            "city": "CARROLLTON",
            "state": "IL",
            "postal_code": "620161404",
            "telephone_number": "217-245-7174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLLTON CU SCHOOL DIST 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKHOUSE",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "217-245-7174"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Applied Medical and Performance Solutions Inc
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• Alexander Beavers, DMD
• R Scott Beavers, DDS
• Kyndal Brown
• Carrollton Family Dental
• Ellen Caroline Christensen, AUD
• County of Greene (Greene County Health Department)
• County of Greene (Greene County Health Department)
• Skylar Richard Cox, DMD

• Local Education Agency (LEA) in Carrollton, IL
• Providers in Carrollton, 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.