Organization Active NPI

Trico Unit SCH Dist 176

  • Student Health Clinic/Center
  • Campbell Hill, IL
National Provider Identifier
1801917653
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
TRICO UNIT SCH DIST 176
Practice address
16411 Highway 4
Campbell Hill, IL 62916-0220
Phone
(618) 426-1111
Fax
(618) 426-3625
NPI assigned
Apr 2, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. 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

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801917653",
    "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 UNIT SCH DIST 176",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.