Braceville SD 75

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

BRACEVILLE SD 75

Practice address

209 N Mitchell St
Braceville, IL 60407-9068

Phone

(815) 237-8040

NPI assigned

Sep 24, 2014

Last updated

Sep 24, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Neil Sanburg

Title

Director

Phone

(815) 942-5780

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1598167330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N MITCHELL ST",
            "city": "BRACEVILLE",
            "state": "IL",
            "postal_code": "604079068",
            "telephone_number": "815-237-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MITCHELL ST",
            "city": "BRACEVILLE",
            "state": "IL",
            "postal_code": "604079068",
            "telephone_number": "815-237-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRACEVILLE SD 75",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "SANBURG",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-942-5780"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Braceville Fire Protection District

• Local Education Agency (LEA) in Braceville, IL
• Providers in Braceville, IL by specialty
• Local Education Agency (LEA) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.