Provider Demographics
NPI:1699877613
Name:NEOGA COMMUNITY UNIT SCHOOL DISTRICT 3
Entity type:Organization
Organization Name:NEOGA COMMUNITY UNIT SCHOOL DISTRICT 3
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:POINDEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-895-2201
Mailing Address - Street 1:790 E. 7TH STREET
Mailing Address - Street 2:PO BOX 280
Mailing Address - City:NEOGA
Mailing Address - State:IL
Mailing Address - Zip Code:62447
Mailing Address - Country:US
Mailing Address - Phone:217-895-2201
Mailing Address - Fax:217-895-3476
Practice Address - Street 1:790 E. 7TH STREET
Practice Address - Street 2:
Practice Address - City:NEOGA
Practice Address - State:IL
Practice Address - Zip Code:62447
Practice Address - Country:US
Practice Address - Phone:217-895-2201
Practice Address - Fax:217-895-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL=========001Medicaid