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.

  • Organization
  • Clinic/Center
  • Student Health

About ST JOSEPH CCSD169

This page provides the complete NPI Profile along with additional information for St Joseph Ccsd169, a primary care provider established in Saint Joseph, Illinois operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1689899288 assigned on April 2007. The practitioner's primary taxonomy code is 261QS1000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Todd Pence (Superintendent)

NPI
1689899288 Verify this NPI
Provider Name
ST JOSEPH CCSD169
Entity Type
Organization
Location Address
409 S 5TH ST SAINT JOSEPH, IL 61873
Location Phone
(217) 469-2291
Location Fax
(217) 469-8906
Mailing Address
PO BOX 409 SAINT JOSEPH, IL 61873
Mailing Phone
(217) 469-2291
Mailing Fax
(217) 469-8906
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like St Joseph Ccsd169 sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Clinic/Center Student Health

Taxonomy Code
261QS1000X
Type
Ambulatory Health Care Facilities

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

TODD PENCE

Authorized Official Title
SUPERINTENDENT
Authorized Official Phone
(217) 469-2291

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Frequently Asked Questions

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

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

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