TRI COUNTY SP ED JNT AGREEMENT


Address: 1725 Shomaker Dr, Murphysboro, IL 62966-2507
Phone: 6186842109

TRI COUNTY SP ED JNT AGREEMENT (NPI# 1891819744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891819744
Entity Type Organization
Organization Name TRI COUNTY SP ED JNT AGREEMENT
Other Organization Name COMM UNIT SCHOOL DIST 186 TRI COUNTY SP ED JNT AGREEMENT
Practice Address 1725 Shomaker Dr
Murphysboro
IL 62966-2507
Practice Telephone 6186842109
Mailing Telephone 6186842109
Enumeration Date 2007-03-18
Last Update Date 2008-04-22
Authorized Official Name MR. CHARLES W HAMILTON (DIRECTOR OF SPECIAL EDUCATION)
Authorized Official Telephone 6186842109
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
IL Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Comm Unit School Dist 186 Tri County Sp Ed Jnt Agreement Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1841317500 Tri County Sp Ed Jnt Agreement Clinic/Center 114 S. 8th Street, Elkville, IL 62932-0130 2007-03-26
1679693949 Tri County Sp Ed Jnt Agreement Clinic/Center 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2007-03-30

Office Location

Street Address 1725 SHOMAKER DR
City MURPHYSBORO
State IL
Zip Code 62966-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871009290 Jill Denice Feltmeyer Social Worker 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2017-12-20
1932613379 Amy S. Remsey Speech-Language Pathologist 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2017-11-21
1306355052 Alysia Marie Stoffel Occupational Therapy Assistant 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2017-09-26
1396261038 Laurel Jane Harris Speech-Language Pathologist 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2017-08-15
1285150920 Paula Monique Musumhi Speech-Language Pathologist 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2017-08-15
1679693949 Tri County Sp Ed Jnt Agreement Clinic/Center 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2007-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093272999 Lifenet, Inc. Ambulance 430 N Airport Rd, Murphysboro, IL 62966 2019-02-27
1538678354 Anita Tallegien Daneshdoost Physical Therapist 1725 Shomaker Drive, Murphysboro, IL 62966 2017-09-25
1295281558 Alternatives Counseling Inc. Community/Behavioral Health 1400 N Wood Road, Murphysboro, IL 62966 2016-08-28
1962855833 Andrea Maren Whipple Counselor 617 Walnut St, Murphysboro, IL 62966 2016-07-15
1730544180 Lasharon Smith Non-emergency Medical Transport (VAN) 37 Nins Lane, Murphysboro, WI 62966 2015-12-29
1710241328 Kati K Rush Podiatrist 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966 2012-06-28
1386709418 Hoai P Nguyen Dentist 1116 Locust Street, Murphysboro, IL 62966 2006-12-27
1154416576 Hayley Autumn Hood Occupational Therapist 6 East Shawnee, Murphysboro, IL 62966 2006-10-03
1356435135 Southern Illinois Hospital Services General Acute Care Hospital 2 South Hospital Drive, Murphysboro, IL 62966 2006-10-03
1699879825 Stephen Craig Mills Chiropractor 1010 N 14th St, Murphysboro, IL 62966 2006-09-08
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Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043486517 Comm Unit School Dist 186 Clinic/Center 819 Walnut St, Murphysboro, IL 62966-2126 2008-05-05
1689840159 Comm Unit School District 186 Clinic/Center 819 Walnut St, Murphysboro, IL 62966-2126 2008-05-05
1023284916 Comm Unit School District 186 Clinic/Center 819 Walnut St, Murphysboro, IL 62966-2126 2008-05-01
1568634301 Comm Unit School Dist 186 Clinic/Center 819 Walnut St, Murphysboro, IL 62966-2126 2008-04-01
1730306523 Murphysboro Cu Sch Dist 186 Clinic/Center 819 Walnut St, Murphysboro, IL 62966-2126 2007-04-20
1679693949 Tri County Sp Ed Jnt Agreement Clinic/Center 1725 Shomaker Dr, Murphysboro, IL 62966-2507 2007-03-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811409196 Gavin School District 37 Clinic/Center 25775 W Highway 134, Ingleside, IL 60041-9587 2017-10-26
1053822080 Northestern Illinois University Student Health Services Clinic/Center 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 2017-10-17
1871905190 The Board of Trustees of The University of Illinois Clinic/Center 840 Blackhawk Blvd, South Beloit, IL 61080-2263 2014-05-21
1043630098 Mcgaw Medical Center of Northwestern University Clinic/Center 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 2014-04-17
1407284664 Pef Clinic II, Ltd. Clinic/Center 1955 E 75th St, Chicago, IL 60649-3688 2013-10-28
1508294091 South Shore School of Leadership Health Center Clinic/Center 7627 S Constance Ave, Chicago, IL 60649-4009 2013-10-22
1659705150 Circle Family Healthcare Network Clinic/Center 4701 Harrison St, Hillside, IL 60162-1616 2013-09-03
1932441946 The Board of Trustees of Siu Governing Siue Clinic/Center Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 2013-03-18
1225378094 Kankakee School District 111 Clinic/Center 1200 W Jeffery St, Kankakee, IL 60901-4667 2013-02-15
1033478383 Rockford School District Clinic/Center 401 N Gardiner Ave, Rockford, IL 61107-4338 2012-05-07
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Competitor

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City MURPHYSBORO
Zip Code 62966

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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