Organization · Type 2 NPI
ST Joseph Ccsd169
Student Health Clinic/Center · St. Joseph, IL
NPI number
1689899288
Active
Practice location
409 S 5th St
St. Joseph, IL 61873-9041
Fax (217) 469-8906
Mailing address
PO Box 409
St. Joseph, IL 61873-0409
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
About NPI 1689899288
ST Joseph Ccsd169's National Provider Identifier is 1689899288, issued on Apr 17, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in St. Joseph, IL. The record was last updated on Aug 22, 2020.