NPIMap

Organization Active NPI

Tri County SP Ed JNT Agreement

  • Student Health Clinic/Center
  • Murphysboro, IL
National Provider Identifier
1891819744
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
TRI COUNTY SP ED JNT AGREEMENT
Practice address
1725 Shomaker Dr
Murphysboro, IL 62966-2507
Phone
(618) 684-2109
NPI assigned
Mar 18, 2007
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mr. Charles W Hamilton
Title
Director of Special Education
Phone
(618) 684-2109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X IL Primary

Addresses

Primary practice location

1725 Shomaker Dr
Murphysboro, IL 62966-2507

Mailing address

1725 Shomaker Dr
Murphysboro, IL 62966-2507
Phone (618) 684-2109

Other names 1

  • Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement Other name

National Provider Directory

National Provider Directory
Tax ID family
Comm Unit School Dist 186 Tri County SP Ed JNT Agreement3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1891819744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 SHOMAKER DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662507",
            "telephone_number": "618-684-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SHOMAKER DR",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629662507",
            "telephone_number": "618-684-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY SP ED JNT AGREEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR OF SPECIAL EDUCATION",
        "authorized_official_telephone_number": "618-684-2109",
        "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": [
        {
            "organization_name": "Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Murphysboro, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.