Community Cons Sch Dist 204 | |
6067 State Route 154 Pinckneyville IL 62274-3414 | |
(618) 357-2419 | |
(618) 357-3016 |
Full Name | Community Cons Sch Dist 204 |
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Speciality | Clinic/center - Student Health |
Location | 6067 State Route 154, Pinckneyville, Illinois |
Authorized Official Name and Position | Kathryn Restoff (BOOKKEEPER) |
Authorized Official Contact | 6183572419 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Cons Sch Dist 204 6067 State Route 154 Pinckneyville IL 62274-3414 Ph: (618) 357-2419 | Community Cons Sch Dist 204 6067 State Route 154 Pinckneyville IL 62274-3414 Ph: (618) 357-2419 |
NPI Number | 1922279280 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922279280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Walnut St, Pinckneyville, IL 62274 Phone: 618-357-2187 Fax: 618-357-6740 | |
Medical Arts Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 13 North Walnut Street, Pinckneyville, IL 62274 Phone: 618-357-2147 Fax: 618-357-8142 | |
Pinckneyville School District #50 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 W Mulberry St, Pinckneyville, IL 62274 Phone: 618-357-9096 Fax: 618-357-8731 | |
Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2187 Fax: 618-357-8888 | |
Pinckneyville Community Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5383 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2187 Fax: 618-357-8888 | |
Community Consolid Sch Dis 204 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6067 State Route 154, Pinckneyville, IL 62274 Phone: 618-357-2419 Fax: 618-357-3016 | |
Pinckneyville High School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 E Water St, Pinckneyville, IL 62274 Phone: 618-357-5013 Fax: 618-357-6045 |