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Dongola Sch Unit Dist 66

Clinic/Center, Student Health in Dongola, IL. Organization (NPI-2).

NPI number1104096932
StatusActive
Last updated in NPPESMar 7, 2008

Details

NPI
1104096932
Entity type
Organization (NPI-2)
Legal business name
Dongola Sch Unit Dist 66
Organization subpart
No
Enumeration date
Mar 7, 2008
Last updated
Mar 7, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QS1000X Clinic/Center, Student Health–ILYes

Other names

  • Dongola Sch Unit Dist 66 (Other Name)

Practice location

1000 High St.
Dongola, IL 62926-0190

Phone 618-827-3841 · Fax 618-827-4641

Mailing address

Po Box 190
Dongola, IL 62926-0190

Phone 618-827-3841 · Fax 618-827-4641

Authorized official

Brett Shawn Gayer
Superintendent/Principal
6188273841

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