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BLACKHAWK PARK SCHOOL
NPI 1659500833
Clinic/Center - Student Health in Rockford, IL

Active since July 08, 2009
330 15TH AVE, ROCKFORD, IL 61104(815) 972-7200(815) 720-4001 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blackhawk Park School NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACKHAWK PARK SCHOOL (NPI 1659500833) is a healthcare organization registered as a student health in Rockford, Illinois and active in the NPI registry since July 2009. The organization lists J Maichle Bacon, Administrator, as its authorized official.

NPPES Registry Identity

NPI1659500833
Entity TypeOrganization
Primary Taxonomy261QS1000X
Legal Business NameBLACKHAWK PARK SCHOOL
Location Address330 15TH AVERockford, IL 61104-5155
Mailing Address401 Division StRockford, IL 61104-2014 · (815) 720-4011 · Fax (815) 720-4001
Phone(815) 972-7200
Fax(815) 720-4001
Organization SubpartYesParent: Winnebago County Health Department
Authorized OfficialJ Maichle BaconAdministrator · (815) 720-4011
Enumeration DateJuly 8, 2009
Last NPPES UpdateDecember 12, 2012
✔ NPI 1659500833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
License✔ Licensed in IL · 771115034
330 15TH AVE, Rockford, IL 61104
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Other Identifiers 1

Medicaid=========005IL

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
Clinic/Center (Student Health)
330 15TH AVE
ROCKFORD, IL 61104
Winnebago County (815) 395-5858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Blackhawk Park School's NPI number?

The NPI number for Blackhawk Park School is 1659500833. It was assigned to this organization in the NPPES registry on July 8, 2009.

Where is Blackhawk Park School located?

Blackhawk Park School is located at 330 15th Ave, Rockford, IL 61104. The listed phone number is (815) 972-7200.

What is Blackhawk Park School's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Blackhawk Park School was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.