St Rose Elem Dist 14 and 15

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

ST ROSE ELEM DIST 14 AND 15

Practice address

18004 Saint Rose Rd
Breese, IL 62230-2578

Phone

(618) 526-7484

Fax

(618) 526-7168

NPI assigned

Mar 27, 2008

Last updated

Mar 27, 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

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1902078264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18004 SAINT ROSE RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302578",
            "telephone_number": "618-526-7484",
            "fax_number": "618-526-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18004 SAINT ROSE RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302578",
            "telephone_number": "618-526-7484",
            "fax_number": "618-526-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ROSE ELEM DIST 14 AND 15",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Breese, IL
• Providers in Breese, 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 Mar 27, 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.