Organization Active NPI

Streator TWP HS Dist 40

  • Local Education Agency (LEA)
  • Streator, IL
National Provider Identifier
1568631547
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
STREATOR TWP HS DIST 40
Practice address
202 W Lincoln Ave
Streator, IL 61364-2102
Phone
(815) 433-6433
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Marty Ricconi
Title
Director
Phone
(815) 433-6433

Specialties & licenses 1

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

Addresses

Primary practice location

202 W Lincoln Ave
Streator, IL 61364-2102

Mailing address

202 W Lincoln Ave
Streator, IL 61364-2102

National Provider Directory

National Provider Directory

Locations

202 W Lincoln Ave
Streator, IL 61364
Phone (309) 242-5634

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1568631547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W LINCOLN AVE",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W LINCOLN AVE",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642102",
            "telephone_number": "815-433-6433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STREATOR TWP HS DIST 40",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "RICCONI",
        "authorized_official_first_name": "MARTY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-433-6433"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.