Pinckneyville School District #50

LBN: Tri County Sp Ed Jnt Agreement
Pinckneyville School District #50 is an health care organization with primary practice located at 1725 Shomaker Dr , Murphysboro IL 62966-2507. The organization recently has only one registered license in Ambulatory Health Care Facilities / Student Health, which is considered as the primary health care specialty. Tri County Sp Ed Jnt Agreement can be contacted via phone (618) 684-2109, or through O'Leary, Tim P. via phone (618) 357-9096.

Contact Information

Primary practice address
1725 Shomaker Dr Murphysboro IL 62966-2507
Phone: (618) 684-2109
Fax:
Website:
Map and Directions
Authorized official contact:
Name: O'Leary, Tim P.
Phone: (618) 357-9096

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Student Health 261QS1000X Illinois

Profile Details

NPI number 1679693949
LBN Legal business name Tri County Sp Ed Jnt Agreement
DBA Doing business as Pinckneyville School District #50
Authorized official O'Leary, Tim P.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679693949 NPPES
Illinois MEDICAID 376004298001

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