Prairie Hill CCSD 133

Organization Active NPI Local Education Agency (LEA) · South Beloit, IL

NPI 1861694317 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1861694317
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
PRAIRIE HILL CCSD 133
Practice address
14714 Willowbrook Rd
South Beloit, IL 61080-9554
Phone
(815) 624-2615
NPI assigned
Jun 5, 2007
Organization subpart
No

Authorized official

Name
Thomas Zelten
Title
Director
Phone
(815) 624-2615

National Provider Directory

Locations

14714 Willowbrook Rd
South Beloit, IL 61080
Phone (815) 389-3301

Specialties & licenses

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

Addresses

Primary practice location

14714 Willowbrook Rd
South Beloit, IL 61080-9554

Mailing address

14714 Willowbrook Rd
South Beloit, IL 61080-9554

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861694317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14714 WILLOWBROOK RD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610809554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14714 WILLOWBROOK RD",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610809554",
            "telephone_number": "815-624-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE HILL CCSD 133",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZELTEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-624-2615"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Beloit, IL

All providers in South Beloit, IL · Local Education Agency (LEA) in Illinois

Sources for this page

Verify at the official NPI Registry.