1932323276 NPI number — SAUNEMIN ELEMENTARY SCHOOL DISTRICT 438

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932323276 NPI number — SAUNEMIN ELEMENTARY SCHOOL DISTRICT 438

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SAUNEMIN ELEMENTARY SCHOOL DISTRICT 438
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SAUNEMIN CCSD 438
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932323276
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/15/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 290
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAUNEMIN
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
61769
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-832-4421
Provider Business Mailing Address Fax Number:
815-832-4435

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
39 MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAUNEMIN
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
61769
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-832-4421
Provider Business Practice Location Address Fax Number:
815-832-4435
Provider Enumeration Date:
04/11/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SCHMITT
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
SUPERINTENDENT
Authorized Official Telephone Number:
815-832-4421

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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