Lick Creek School Dist 16

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

LICK CREEK SCHOOL DIST 16

Practice address

7355 Lick Creek Rd
Buncombe, IL 62912-3016

Phone

(618) 833-2545

Fax

(618) 833-3201

NPI assigned

Apr 8, 2008

Last updated

Apr 20, 2008By 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

Gary Whitledge

Title

Superintendent

Phone

(618) 833-2545

Specialties & licenses 1

Addresses

Tax ID family

Lick Creek CC School District 162 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.

• Lick Creek C.C. School District #16

  • Student Health Clinic/Center
  • Buncombe, IL
  • NPI 1982821062
  NPD tax ID

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821261280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 LICK CREEK RD",
            "city": "BUNCOMBE",
            "state": "IL",
            "postal_code": "629123016",
            "telephone_number": "618-833-2545",
            "fax_number": "618-833-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 LICK CREEK RD",
            "city": "BUNCOMBE",
            "state": "IL",
            "postal_code": "629123016",
            "telephone_number": "618-833-2545",
            "fax_number": "618-833-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LICK CREEK SCHOOL DIST 16",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "WHITLEDGE",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-833-2545"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buncombe Elem SCH Dist 43
• Madison Brooke Goins, BSW
• Donna Michelle Holder
• Jaima Hollingsworth, CNA
• Lick Creek C.C. School District #16

• Student Health Clinic/Center in Buncombe, IL
• Providers in Buncombe, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.