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EAST SIDE HEALTH DISTRICT
NPI 1245443464
Public Health or Welfare in East Saint Louis, IL

Active since May 07, 2007CLIA 14D0433871 · Microscopy
638 N 20TH ST, EAST SAINT LOUIS, IL 62205(618) 271-8722 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About East Side Health District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST SIDE HEALTH DISTRICT (NPI 1245443464) is a healthcare organization registered as a public health or welfare in East Saint Louis, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Microscopy certificate valid through July 9, 2027 and lists Elizabeth Patton, Administrator, as its authorized official.

NPPES Registry Identity

NPI1245443464
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameEAST SIDE HEALTH DISTRICT
Location Address638 N 20TH STEast Saint Louis, IL 62205-1812
Mailing Address650 N 20th StEast Saint Louis, IL 62205-1812 · (618) 271-8722 · Fax (618) 271-0754
Phone(618) 271-8722
Organization SubpartNo
Authorized OfficialElizabeth PattonAdministrator · (618) 271-8722
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245443464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
638 N 20TH ST, East Saint Louis, IL 62205
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0433871

East Side Health District · East Saint Louis, IL
Active · expires Jul 9, 2027
CLIA Number14D0433871
Laboratory TypeOther
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorTheodore Ross MD
Laboratory Phone(618) 874-4713
Laboratory LocationEast Side Health District638 North 20th Street, East Saint Louis, IL 62205
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHERYL V ACKER FNP
Nurse Practitioner (Family)
638 N 20TH ST
EAST SAINT LOUIS, IL 62205
St. Clair County (618) 874-4713

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Side Health District's NPI number?

The NPI number for East Side Health District is 1245443464. It was assigned to this organization in the NPPES registry on May 7, 2007.

Where is East Side Health District located?

East Side Health District is located at 638 N 20th St, East Saint Louis, IL 62205. The listed phone number is (618) 271-8722.

What is East Side Health District's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does East Side Health District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0433871) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Side Health District was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.