Provider Demographics
NPI:1639266646
Name:COWDEN HERRICK CUSD 3A
Entity type:Organization
Organization Name:COWDEN HERRICK CUSD 3A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:CADWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-783-2126
Mailing Address - Street 1:ROUTE 128 SOUTH
Mailing Address - Street 2:PO BOX 188
Mailing Address - City:COWDEN
Mailing Address - State:IL
Mailing Address - Zip Code:62422
Mailing Address - Country:US
Mailing Address - Phone:217-783-2126
Mailing Address - Fax:217-783-2126
Practice Address - Street 1:ROUTE 128 SOUTH
Practice Address - Street 2:
Practice Address - City:COWDEN
Practice Address - State:IL
Practice Address - Zip Code:62422
Practice Address - Country:US
Practice Address - Phone:217-783-2126
Practice Address - Fax:217-783-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
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=========01Medicaid