Active NPI
Trico School Dist 176
- Student Health Clinic/Center
- Campbell Hill, IL
National Provider Identifier
1477728277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student Health Clinic/Center
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Trico School Dist 176
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Campbell Hill, IL
- NPI 1801917653
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.