| Rural Champaign Co Spc Ed Coop | |
|
807 N Mattis Champaign IL 61821-2448 | |
| (217) 892-8877 | |
| (217) 893-8627 |
| Full Name | Rural Champaign Co Spc Ed Coop |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 807 N Mattis, Champaign, Illinois |
| Authorized Official Name and Position | Jennifer Armstrong (DIRECTOR) |
| Authorized Official Contact | 2178928877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rural Champaign Co Spc Ed Coop 807 N Mattis Champaign IL 61821-2448 Ph: (217) 892-8877 | Rural Champaign Co Spc Ed Coop 807 N Mattis Champaign IL 61821-2448 Ph: (217) 892-8877 |
| NPI Number | 1598897993 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 12/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598897993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
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