Northwest Special Education Cooperative

Organization Active NPI Local Education Agency (LEA) · Freeport, IL

NPI 1265600233 · NPPES record last updated Jun 19, 2023

Key facts

NPI
1265600233
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
NORTHWEST SPECIAL EDUCATION COOPERATIVE
Practice address
2037 W Galena Ave
Freeport, IL 61032-3004
Phone
(815) 232-0331
NPI assigned
Feb 13, 2008
Organization subpart
No

Authorized official

Name
Mrs. Tracy Rose Dahl, B.S.W, M.S.W, MS. ED
Title
Director
Phone
(815) 599-1947

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

310 N West St
Elizabeth, IL 61028
Phone (815) 599-1947

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

2037 W Galena Ave
Freeport, IL 61032-3004

Mailing address

310 N. West Street
Elizabeth, IL 61028
Phone (815) 599-1947

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 19, 2023.

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1265600233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N. WEST STREET",
            "city": "ELIZABETH",
            "state": "IL",
            "postal_code": "61028",
            "telephone_number": "815-599-1947",
            "fax_number": "815-858-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 W GALENA AVE",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610323004",
            "telephone_number": "815-232-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SPECIAL EDUCATION COOPERATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-599-1947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S.W, M.S.W, MS. ED"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, IL

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