Prairieview Ogden Ccsd 197 | |
106 N Vine St Royal IL 61871 | |
(217) 583-3300 | |
Not Available |
Full Name | Prairieview Ogden Ccsd 197 |
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Speciality | Clinic/center - Student Health |
Location | 106 N Vine St, Royal, Illinois |
Authorized Official Name and Position | Victor White (SUPERINTENDENT) |
Authorized Official Contact | 2175833300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Prairieview Ogden Ccsd 197 Po Box 27 Royal IL 61871-0027 Ph: (217) 583-3300 | Prairieview Ogden Ccsd 197 106 N Vine St Royal IL 61871 Ph: (217) 583-3300 |
NPI Number | 1013132489 |
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Provider Enumeration Date | 04/13/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1013132489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |