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ANNA CC SCH DIST 37 NPI 1275653958


NPI Information

NPI: 1275653958
Provider Name: ANNA CC SCH DIST 37

Former Legal Business Name: ANNA COMM CONSOLIDATED DIST 37

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
301 S GREEN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-6812
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ANNA CC SCH DIST 37 is a student health clinic center in Anna, IL. ANNA CC SCH DIST 37 NPI is 1275653958. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Anna Comm Consolidated Dist 37.

The provider's business location address is:

301 S GREEN ST
ANNA, IL
ZIP 62906-126
Phone: (618) 833-6812
Fax: (618) 833-3205

The provider's authorized official is Bob Odell .
The authorized official title is Superintendent and has the following contact phone number (618) 833-6812.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========001MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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