| Cahokia School Based Center | |
|
800 Range Ln Cahokia IL 62206-2022 | |
| (618) 337-3117 | |
| (618) 337-3122 |
| Full Name | Cahokia School Based Center |
|---|---|
| Speciality | Nurse Practitioner - School |
| Location | 800 Range Ln, Cahokia, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6183320783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cahokia School Based Center 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Cahokia School Based Center 800 Range Ln Cahokia IL 62206-2022 Ph: (618) 337-3117 |
| NPI Number | 1689739062 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689739062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LS0200X | Nurse Practitioner - School | (* (Not Available)) | Primary |
Cep America - Illinois Snf, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Annable Ct, Cahokia, IL 62206 Phone: 618-332-0114 | |
Cahokia Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 818 Upper Cahokia Rd, Cahokia, IL 62206 Phone: 618-337-2597 Fax: 618-337-2930 |