| Dongola Sch Unit Dist 66 | |
|
1000 High St. Dongola IL 62926-0190 | |
| (618) 827-3841 | |
| (618) 827-4641 |
| Full Name | Dongola Sch Unit Dist 66 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1000 High St., Dongola, Illinois |
| Authorized Official Name and Position | Brett Shawn Gayer (SUPERINTENDENT/PRINCIPAL) |
| Authorized Official Contact | 6188273841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dongola Sch Unit Dist 66 Po Box 190 Dongola IL 62926-0190 Ph: (618) 827-3841 | Dongola Sch Unit Dist 66 1000 High St. Dongola IL 62926-0190 Ph: (618) 827-3841 |
| NPI Number | 1104096932 |
|---|---|
| Provider Enumeration Date | 03/07/2008 |
| Last Update Date | 03/07/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104096932 | NPI | - | NPPES |
| 3760047396292601 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Dongola School Unit Dist 66 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 High Street, Dongola, IL 62926 Phone: 618-827-3841 Fax: 618-827-4641 | |
Dongola Unit School Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1000 High Street, Dongola, IL 62926 Phone: 618-827-3841 Fax: 618-827-4641 | |
Dongola Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 318 N Us Highway 51, Dongola, IL 62926 Phone: 618-827-3545 Fax: 618-827-4891 |