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Community Cons Sch Dist 204

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

NPI number1497978464
StatusActive
Last updated in NPPESApr 20, 2008

Details

NPI
1497978464
Entity type
Organization (NPI-2)
Legal business name
Community Cons Sch Dist 204
Organization subpart
No
Enumeration date
Apr 10, 2007
Last updated
Apr 20, 2008

Taxonomy and licenses

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

Other names

  • Community Consolid Sch Dis 204 (Other Name)

Practice location

6067 State Route 154
Pinckneyville, IL 62274-3414

Phone 618-357-2419 · Fax 618-357-3016

Mailing address

6067 State Route 154
Pinckneyville, IL 62274-3414

Phone 618-357-2419 · Fax 618-357-3016

Authorized official

Chris Rigdon
Superintendent
6183572419

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Other Student Health Clinic/Center providers in Pinckneyville, IL

All 5 Student Health Clinic/Center providers in Pinckneyville · All 118 providers in Pinckneyville

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