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: August 09, 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
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

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 St Joseph Ccsd169's NPI number?

The NPI number for St Joseph Ccsd169 is 1689899288. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is St Joseph Ccsd169 located?

St Joseph Ccsd169 is located at 409 S 5th St, Saint Joseph, IL 61873. The listed phone number is (217) 469-2291.

What is St Joseph Ccsd169's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for St Joseph Ccsd169 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.