Organization Active NPI

McLean County Unit District #5

  • Local Education Agency (LEA)
  • Normal, IL
National Provider Identifier
1912042045
Registry record updated Nov 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
MCLEAN COUNTY UNIT DISTRICT #5
Practice address
412 E Cypress St
Normal, IL 61761-1777
Phone
(309) 454-2220
Fax
(309) 888-6013
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2008

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

Authorized official

Name
Mr. Chuck Hartseil
Title
Director
Phone
(309) 454-2220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

412 E Cypress St
Normal, IL 61761-1777

Mailing address

412 E Cypress St
Normal, IL 61761-1777
Phone (309) 454-2220

Other identifiers 2

IdentifierTypeStateIssuer
376004011002MedicaidIL
3760040116176101MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Edwardsville Cusd72 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.

Locations

1809 Hovey Ave
Normal, IL 61761

412 E Cypress St
Normal, IL 61761
Phone (309) 454-2220

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1912042045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 E CYPRESS ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611777",
            "telephone_number": "309-454-2220",
            "fax_number": "309-888-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E CYPRESS ST",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611777",
            "telephone_number": "309-454-2220",
            "fax_number": "309-888-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLEAN COUNTY UNIT DISTRICT #5",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "HARTSEIL",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-454-2220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376004011002",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3760040116176101",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.