LARAWAY CCSD #70C NPI 1114105103

Bus in Joliet, IL

NPI 1114105103 Organization Bus

About LARAWAY CCSD #70C

Laraway Ccsd #70c is a provider established in Joliet, Illinois specializing in bus. The NPI number of Laraway Ccsd #70c is 1114105103 and was assigned on February 2008. The practitioner's primary taxonomy code is 347B00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Dr. Douglas Gordon Hesbol (Superintendent)

NPI

1114105103

Provider NameLARAWAY CCSD #70C
Provider Location Address275 W LARAWAY RD JOLIET, IL 60436
Provider Mailing Address275 W LARAWAY RD JOLIET, IL 60436
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date02-01-2008
Last Update Date04-20-2008


Primary Taxonomy

Taxonomy Code347B00000X
ClassificationBus
TypeTransportation Services
License StateIL
Taxonomy DescriptionA public or private organization or business licensed to provide bus services.

Business Address

LARAWAY CCSD #70C
275 W LARAWAY RD
JOLIET, IL
ZIP 60436
Phone: (815) 727-5115
Fax: (815) 727-5289

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Mailing Address

LARAWAY CCSD #70C
275 W LARAWAY RD
JOLIET, IL
ZIP 60436
Phone: (815) 727-5115
Fax: (815) 727-5289



Authorized Official

Authorized Official NameDR. DOUGLAS GORDON HESBOL
Authorized Official TitleSUPERINTENDENT
Authorized Official Phone(815) 727-5115

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
=========001OTHER (01)IL

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326476151LARAWAY COMM CONS SCH DIST 70
Organization
Local Education Agency (LEA)275 W LARAWAY RD
JOLIET, IL 60436
(815) 727-5115

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.