FORD HEIGHTS SCHOOL DISTRICT #169
NPI 1003017062
Local Education Agency (LEA) in Ford Heights, IL

NPI Status: Active since May 29, 2007

Contact Information

910 WOODLAWN AVE
FORD HEIGHTS, IL
ZIP 60411
Phone: (708) 758-1370

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  • Organization
  • Local Education Agency (LEA)
  • CLIA Number: 14D2215343
  • CLIA Cert. Type: Waiver
  • CLIA Exp. Date: 03-02-2025

About FORD HEIGHTS SCHOOL DISTRICT #169

Ford Heights School District #169 is a provider established in Ford Heights, Illinois operating as a Local Education Agency (lea). The healthcare provider is registered in the NPI registry with number 1003017062 assigned on May 2007. The practitioner's primary taxonomy code is 251300000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Gregory Jackson (Superintendent)

NPI
1003017062
Provider Name
FORD HEIGHTS SCHOOL DISTRICT #169
Entity Type
Organization
Location Address
910 WOODLAWN AVE FORD HEIGHTS, IL 60411
Location Phone
(708) 758-1370
Mailing Address
910 WOODLAWN AVE FORD HEIGHTS, IL 60411
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
05-29-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Local Education Agency (LEA)

Taxonomy Code
251300000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY JACKSON

Authorized Official Title
SUPERINTENDENT
Authorized Official Phone
(708) 758-1370

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2215343
Facility Type
School/Student Health Service
Certificate Effective Date
March 03, 2023
Certificate Expiration Date
March 02, 2025
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ford Heights School District #169 to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for FORD HEIGHTS SCHOOL DISTRICT #169

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003017062
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030114012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 4 + 0 + 1 + 2 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003017062 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003017062, enumerated in the NPI registry as an "organization" on May 29, 2007

The provider is located at 910 Woodlawn Ave Ford Heights, Il 60411 and the phone number is (708) 758-1370

This medical organization specializes in Local Education Agency (LEA) with taxonomy code 251300000X

The provider's CLIA number is 14D2215343 for a "school/student health service" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 29, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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