Organization · Type 2 NPI

Dongola SCH Unit Dist 66

Student Health Clinic/Center · Dongola, IL

NPI number 1104096932 Active

Practice location

1000 High St.
Dongola, IL 62926-0190

Fax (618) 827-4641

Mailing address

PO Box 190
Dongola, IL 62926-0190

Specialties and licenses

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XNone listed

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About NPI 1104096932

Dongola SCH Unit Dist 66's National Provider Identifier is 1104096932, issued on Mar 7, 2008. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Dongola, IL. The record was last updated on Mar 7, 2008.