Provider Demographics
NPI:1942317540
Name:PLEASANT PLAINS CUSD 8
Entity Type:Organization
Organization Name:PLEASANT PLAINS CUSD 8
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TALBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-626-1041
Mailing Address - Street 1:315 WEST CHURCH STREET
Mailing Address - Street 2:
Mailing Address - City:PLEASANT PLAINS
Mailing Address - State:IL
Mailing Address - Zip Code:62677
Mailing Address - Country:US
Mailing Address - Phone:217-626-1041
Mailing Address - Fax:217-626-1082
Practice Address - Street 1:315 WEST CHURCH STREET
Practice Address - Street 2:
Practice Address - City:PLEASANT PLAINS
Practice Address - State:IL
Practice Address - Zip Code:62677
Practice Address - Country:US
Practice Address - Phone:217-626-1041
Practice Address - Fax:217-626-1082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
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