Provider Demographics
NPI:1427193002
Name:PANHANDLE CUSD 2
Entity Type:Organization
Organization Name:PANHANDLE CUSD 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCONER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-229-4215
Mailing Address - Street 1:PO BOX 49
Mailing Address - Street 2:
Mailing Address - City:RAYMOND
Mailing Address - State:IL
Mailing Address - Zip Code:62560-0049
Mailing Address - Country:US
Mailing Address - Phone:217-229-4214
Mailing Address - Fax:217-229-4216
Practice Address - Street 1:317 EAST BROAD
Practice Address - Street 2:
Practice Address - City:RAYMOND
Practice Address - State:IL
Practice Address - Zip Code:62560-0049
Practice Address - Country:US
Practice Address - Phone:217-229-4214
Practice Address - Fax:217-229-4216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid