RURAL CHAMPAIGN CO SPC ED COOP NPI 1598897993

NPI Information

NPI: 1598897993
Provider Name: RURAL CHAMPAIGN CO SPC ED COOP
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
807 N MATTIS
CHAMPAIGN, IL
ZIP 61821
Phone: (217) 892-8877
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RURAL CHAMPAIGN CO SPC ED COOP is a student health clinic center in Champaign, IL. RURAL CHAMPAIGN CO SPC ED COOP NPI is 1598897993. The provider is registered as an organization entity type.

The provider's business location address is:

807 N MATTIS
CHAMPAIGN, IL
ZIP 61821-448
Phone: (217) 892-8877
Fax: (217) 893-8627

The provider's authorized official is Jennifer Armstrong .
The authorized official title is Director and has the following contact phone number (217) 892-8877.

The enumeration date for this NPI number is 3/12/2007 and was last updated on 12/14/2016.

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			No
2	261QS1000X	Clinic/Center	Student Health		ILLINOIS	Yes

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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