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ST JOSEPH CCSD169
NPI 1689899288
Clinic/Center - Student Health in Saint Joseph, IL

Active since April 17, 2007
409 S 5TH ST, SAINT JOSEPH, IL 61873(217) 469-2291(217) 469-8906 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About St Joseph Ccsd169 NPPES

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

ST JOSEPH CCSD169 (NPI 1689899288) is a healthcare organization registered as a student health in Saint Joseph, Illinois and active in the NPI registry since April 2007. The organization lists Todd Pence, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1689899288
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameST JOSEPH CCSD169
Location Address409 S 5TH STSaint Joseph, IL 61873-9041
Mailing AddressPo Box 409Saint Joseph, IL 61873-0409 · (217) 469-2291 · Fax (217) 469-8906
Phone(217) 469-2291
Fax(217) 469-8906
Organization SubpartNo
Authorized OfficialTodd PenceSuperintendent · (217) 469-2291
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689899288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
409 S 5TH ST, Saint Joseph, IL 61873
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Reviews for ST JOSEPH CCSD169

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Frequently Asked Questions

What is ST JOSEPH CCSD169's NPI number?

The NPI number assigned to this healthcare provider is 1689899288, enumerated as an "organization" on April 17, 2007.

Where is the provider located?

The provider is located at 409 S 5TH ST SAINT JOSEPH, IL 61873 and the phone number is (217) 469-2291.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.