Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

St Joseph Ccsd #169

Organization Student in an Organized Health Care Education/Training Program · NPI 1326217100

St Joseph Ccsd #169 is a Student in an Organized Health Care Education/Training Program in Saint Joseph, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

404 S 5th St
Saint Joseph, IL 61873-9073
Phone: (217) 469-2291
Fax: (217) 469-8906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 001 (IL)

Record details

NPI number1326217100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Pence — Superintendent · (217) 469-2291
NPI enumeratedFebruary 26, 2008
Last updated in NPPESJuly 21, 2022
Mailing address404 S 5th St, Saint Joseph, IL 61873-9073