ST. JOSEPH CCSD #169 NPI 1326217100

NPI Information

  • NPI: 1326217100
  • Provider Name: ST. JOSEPH CCSD #169
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Organization
  • Address: 404 S 5TH ST
    SAINT JOSEPH, IL
    ZIP 61873
  • Phone: (217) 469-2291

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NPI Details

ST. JOSEPH CCSD #169 is a student in an organized health care education training program in Saint Joseph, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. ST. JOSEPH CCSD #169 NPI is 1326217100. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 S 5TH ST
SAINT JOSEPH, IL
ZIP 61873-073
Phone: (217) 469-2291
Fax: (217) 469-8906

The provider's authorized official is Todd Eugene Pence .
The authorized official title is Superintendent and has the following contact phone number (217) 469-2291.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training Program001ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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