Organization · Type 2 NPI
Spring Garden Community Consolidated School District #178
Student Health Clinic/Center · Mount Vernon, IL
NPI number
1881724565
Active
Practice location
14975 E Bakerville Rd
Mount Vernon, IL 62864
Fax (618) 244-8071
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Student Health Clinic/Center: Definition to come...
2 other providers at this address
Other student health clinic/center providers in Mount Vernon
About NPI 1881724565
Spring Garden Community Consolidated School District #178's National Provider Identifier is 1881724565, issued on Mar 6, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 31, 2015.