MEDICARE: TUSCOLA COMM UNIT SCHOOL DIST 301

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1477662336
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TUSCOLA COMM UNIT SCHOOL DIST 301

Provider Business Mailing Address
First Line	:	409 S PRAIRIE ST
Second Line	:
City	:	TUSCOLA
State	:	IL
Zip	:	61953-1770
Country	:	US
Telephone Number	:	217-253-4241
Fax Number	:	217-253-4522

Provider Business Practice Location Address
First Line	:	409 S PRAIRIE ST
Second Line	:
City	:	TUSCOLA
State	:	IL
Zip	:	61953-1770
Country	:	US
Telephone Number	:	217-253-4241
Fax Number	:	217-253-4522

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MR. JOE BURGESS
Credential	:
Telephone Number	:	217-253-4241

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	08/22/2020

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