Heritage Cusd 8

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

HERITAGE CUSD 8

Practice address

512 W 1St St
Homer, IL 61849-1215

Phone

(217) 893-2421

Fax

(217) 896-2715

NPI assigned

Apr 20, 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

Andrew Larson

Title

Superintendent

Phone

(217) 834-3392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962629808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 W 1ST ST",
            "city": "HOMER",
            "state": "IL",
            "postal_code": "618491215",
            "telephone_number": "217-834-3392",
            "fax_number": "217-834-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 W 1ST ST",
            "city": "HOMER",
            "state": "IL",
            "postal_code": "618491215",
            "telephone_number": "217-893-2421",
            "fax_number": "217-896-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CUSD 8",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "217-834-3392"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Clem
• Kristina Hartman
• Santana Koebele, ED.S., NCSP
• Mahindra Patel, M.D. LTD
• Angela Marie McCarty, COTA
• Kathryn Mitrou, COTA/L
• Mahindra D. Patel, M.D.

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