Provider Demographics
NPI:1710165865
Name:RILEY COMMUNITY CONS SCHOOL DIST #18
Entity Type:Organization
Organization Name:RILEY COMMUNITY CONS SCHOOL DIST #18
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-568-8637
Mailing Address - Street 1:9406 RILEY RD
Mailing Address - Street 2:
Mailing Address - City:MARENGO
Mailing Address - State:IL
Mailing Address - Zip Code:60152-9013
Mailing Address - Country:US
Mailing Address - Phone:815-568-8637
Mailing Address - Fax:815-568-3709
Practice Address - Street 1:9406 RILEY RD
Practice Address - Street 2:
Practice Address - City:MARENGO
Practice Address - State:IL
Practice Address - Zip Code:60152-9013
Practice Address - Country:US
Practice Address - Phone:815-568-8637
Practice Address - Fax:815-568-3709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)