Organization Active NPI

Trico School Dist 176

  • Student Health Clinic/Center
  • Campbell Hill, IL
National Provider Identifier
1477728277
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
TRICO SCHOOL DIST 176
Practice address
16411 Highway 4
Campbell Hill, IL 62916-0220
Phone
(618) 426-1111
Fax
(618) 426-3625
NPI assigned
Apr 23, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Denosky
Title
Superintendent
Phone
(618) 426-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X IL Primary

Addresses

Primary practice location

16411 Highway 4
Campbell Hill, IL 62916-0220

Mailing address

PO Box 220
Campbell Hill, IL 62916-0220
Phone (618) 426-1111

Other names 1

  • Trico Unit Sch Dist 176 Other name

National Provider Directory

National Provider Directory
Tax ID family
Trico School Dist 1762 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

16411 Highway 4
Campbell Hill, IL 62916
Phone (618) 426-1111

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1477728277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "CAMPBELL HILL",
            "state": "IL",
            "postal_code": "629160220",
            "telephone_number": "618-426-1111",
            "fax_number": "618-426-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16411 HIGHWAY 4",
            "city": "CAMPBELL HILL",
            "state": "IL",
            "postal_code": "629160220",
            "telephone_number": "618-426-1111",
            "fax_number": "618-426-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICO SCHOOL DIST 176",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "DENOSKY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-426-1111"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trico Unit Sch Dist 176",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Campbell Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.