Organization Active NPI

Blackhawk Area SP Ed Dist 865

  • Local Education Agency (LEA)
  • East Moline, IL
National Provider Identifier
1992907455
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
BLACKHAWK AREA SP ED DIST 865
Practice address
4670 11TH St
East Moline, IL 61244-4428
Phone
(309) 796-2500
NPI assigned
Jun 5, 2007
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
Michael Weger
Title
Director
Phone
(309) 796-2500

Specialties & licenses 1

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

Addresses

Primary practice location

4670 11TH St
East Moline, IL 61244-4428

Mailing address

4670 11TH St
East Moline, IL 61244-4428

National Provider Directory

National Provider Directory

Locations

4670 11th St
East Moline, IL 61244
Phone (309) 756-2500

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992907455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 11TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 11TH ST",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612444428",
            "telephone_number": "309-796-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKHAWK AREA SP ED DIST 865",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEGER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "309-796-2500"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, 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.