SMITHTON C.C.S.D. #130 (NPI# 1770708679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770708679 |
| Entity Type | Organization |
| Organization Name | SMITHTON C.C.S.D. #130 |
| Practice Address |
316 S Hickory St Smithton IL 62285-1819 |
| Practice Telephone | 6182336863 |
| Mailing Telephone | 6182336863 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DIANE L. SCHAEFER (DIRECTOR OF BUSINESS SERVICES) |
| Authorized Official Telephone | 6182336863 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | Agencies |
| Street Address |
316 S HICKORY ST |
| City | SMITHTON |
| State | IL |
| Zip Code | 62285-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619502002 | Amy Christine Morra | Speech-Language Pathologist | 316 S Hickory St, Smithton, IL 62285-1819 | 2020-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144730128 | Ashley Marie Hynes | Physician Assistant | 4059 Chestnut Oak Dr, Smithton, IL 62285 | 2017-10-04 |
| 1326419912 | Smithton Pharmacy Professional Corporation | Pharmacy | 3981 State Route 159, Smithton, IL 62285 | 2015-10-08 |
| 1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
| 1760819676 | Msa Alliance, LLC | Family Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2013-10-09 |
| 1003159450 | Kristen Nicole Massey | Nurse Practitioner | 4017 State Route 159 Ste 101, Smithton, IL 62285 | 2013-04-04 |
| 1619280112 | Pc Associates, LLC | Family Medicine | 4017 Illinios Rt. 159, Ste 101, Smithton, IL 62285 | 2010-07-26 |
| 1225174642 | Amy Y Pfingsten | Speech-Language Pathologist | 215 Eugenia, Smithton, IL 62285 | 2007-01-30 |
| 1265526818 | Beverly Enterprises - Illinois, Inc. | Skilled Nursing Facility | 107 S. Lincoln, Smithton, IL 62285 | 2006-10-03 |
| 1316903008 | Thomas Gregory Bircher | Dentist | 504 North Main Street, Smithton, IL 62285 | 2006-04-22 |
| 1003285560 | Mattison N Perez | Physician Assistant | 4017 Illinois State Route 159, Suite 101, Smithton, IL 62285 | 2015-09-15 |
| Find all providers in zip 62285 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699840702 | School District R 6 Smithton | Local Education Agency (LEA) | 505 S Myrtle Ave, Smithton, MO 65350-1038 | 2006-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382624 | Rockdale School District 84 | Local Education Agency (LEA) | 715 Meadow Ave, Rockdale, IL 60436-2497 | 2020-07-06 |
| 1629603220 | Horizon Science Academy-belmont | Local Education Agency (LEA) | 2456 N Mango Ave, Chicago, IL 60639-2313 | 2020-03-04 |
| 1740815331 | Horizon Science Academy-mckinley Park | Local Education Agency (LEA) | 2245 W Pershing Rd, Chicago, IL 60609-2211 | 2020-03-04 |
| 1710538004 | Bronzeville Acadmey Charter School | Local Education Agency (LEA) | 4930 S Cottage Grove Ave, Chicago, IL 60615-2616 | 2019-09-27 |
| 1689223653 | Intrinsic Schools | Local Education Agency (LEA) | 79 W Monroe St Ste 400, Chicago, IL 60603-4903 | 2019-09-11 |
| 1992352645 | Amandla Charter School | Local Education Agency (LEA) | 6820 S Washtenaw Ave, Chicago, IL 60629-1826 | 2019-08-19 |
| 1851863427 | Northbrook District 27 | Local Education Agency (LEA) | 1250 Sanders Rd, Northbrook, IL 60062-2900 | 2018-12-20 |
| 1518439454 | Northbrook/glenview School District 30 | Local Education Agency (LEA) | 2374 Shermer Rd, Northbrook, IL 60062-6729 | 2018-12-17 |
| 1710460951 | Elgin Charter School Initiative LLC | Local Education Agency (LEA) | 1600 Dundee Ave, Elgin, IL 60120-1608 | 2018-09-13 |
| 1497205744 | Betty Shabazz Interantional Charter School | Local Education Agency (LEA) | 7823 S Ellis Ave, Chicago, IL 60619-3213 | 2016-10-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SMITHTON C.C.S.D. #130.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.