Provider Demographics
NPI:1326266362
Name:COUNTY OF CHAMPAIGN COMMUNITY UNIT SCHOOL DISTRICT NO 1
Entity Type:Organization
Organization Name:COUNTY OF CHAMPAIGN COMMUNITY UNIT SCHOOL DISTRICT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-897-6125
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:FISHER
Mailing Address - State:IL
Mailing Address - Zip Code:61843-0700
Mailing Address - Country:US
Mailing Address - Phone:217-897-6125
Mailing Address - Fax:217-897-6676
Practice Address - Street 1:801 S. FIFTH STREET
Practice Address - Street 2:
Practice Address - City:FISHER
Practice Address - State:IL
Practice Address - Zip Code:61843
Practice Address - Country:US
Practice Address - Phone:217-897-6125
Practice Address - Fax:217-897-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health