JONESBORO SCHOOL DISTRICT 43 NPI 1285805705

NPI Information

NPI: 1285805705
Provider Name: JONESBORO SCHOOL DISTRICT 43

Other Name: JONESBORO CC SCHOOL DIST 43

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

Specialization: Student Health

Address:
309 COOK AVE
JONESBORO, IL
ZIP 62952
Phone: (618) 833-6651
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JONESBORO SCHOOL DISTRICT 43 is a student health clinic center in Jonesboro, IL. JONESBORO SCHOOL DISTRICT 43 NPI is 1285805705. The provider is registered as an organization entity type.
The provider Other Name Is Jonesboro Cc School Dist 43.

The provider's business location address is:

309 COOK AVE
JONESBORO, IL
ZIP 62952-118
Phone: (618) 833-6651
Fax: (618) 833-8612

The provider's authorized official is Gary Hill .
The authorized official title is Superintendent and has the following contact phone number (618) 833-6651.

The enumeration date for this NPI number is 3/13/2008 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
1	261QS1000X	Clinic/Center	Student Health		ILLINOIS	Yes

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	=========6295201	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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