| Jefferson Elementary School Health Center | |
|
1108 Grand Ave Johnston City IL 62951-1229 | |
| (618) 519-9200 | |
| (618) 985-4635 |
| Full Name | Jefferson Elementary School Health Center |
|---|---|
| Speciality | Family Medicine |
| Location | 1108 Grand Ave, Johnston City, Illinois |
| Authorized Official Name and Position | Christina Carney (CEO) |
| Authorized Official Contact | 6189569521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Elementary School Health Center 109 California St Po Box 577 Carterville IL 62918 Ph: (618) 519-9200 | Jefferson Elementary School Health Center 1108 Grand Ave Johnston City IL 62951-1229 Ph: (618) 519-9200 |
| NPI Number | 1841903895 |
|---|---|
| Provider Enumeration Date | 01/04/2023 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841903895 | NPI | - | NPPES |
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