MEDICARE: ROCHESTER COMMUNITY UNIT SCHOOL DISTRICT #3A

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	:	1649375668
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCHESTER COMMUNITY UNIT SCHOOL DISTRICT #3A

Provider Business Mailing Address
First Line	:	4 ROCKET DR
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-9282
Country	:	US
Telephone Number	:	217-498-6210
Fax Number	:	217-498-8045

Provider Business Practice Location Address
First Line	:	4 ROCKET DR
Second Line	:
City	:	ROCHESTER
State	:	IL
Zip	:	62563-9282
Country	:	US
Telephone Number	:	217-498-6210
Fax Number	:	217-498-8045

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	THOMAS BERTRAND
Credential	:
Telephone Number	:	217-498-6210

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	08/22/2020

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Directions to “ROCHESTER COMMUNITY UNIT SCHOOL DISTRICT #3A ” Practice Location

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