MEDICARE: NEW SIMPSON HILL ELEMENTARY DISTRICT 32

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	:	1881872513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW SIMPSON HILL ELEMENTARY DISTRICT 32

Provider Business Mailing Address
First Line	:	95 TUNNEL HILL RD
Second Line	:
City	:	TUNNEL HILL
State	:	IL
Zip	:	62972-3200
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	95 TUNNEL HILL RD
Second Line	:
City	:	TUNNEL HILL
State	:	IL
Zip	:	62972-3200
Country	:	US
Telephone Number	:	618-658-8536
Fax Number	:	618-658-5034

Authorized Official
Title or Position	:	SUPTERINTENDENT
Name	:	MR. KATHY ANDERSON
Credential	:
Telephone Number	:	618-658-8536

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	06/24/2008

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