COBDEN SCH UNIT DIST 17 NPI 1720104938

NPI Information

NPI: 1720104938
Provider Name: COBDEN SCH UNIT DIST 17

Other Name: COMM UNIT SCHOOL DIST 186 TRI COUNTY SP ED

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

Specialization: Student Health

Address:
413 N APPLEKNOCKER ST
COBDEN, IL
ZIP 62920
Phone: (618) 893-2313
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COBDEN SCH UNIT DIST 17 is a student health clinic center in Cobden, IL. COBDEN SCH UNIT DIST 17 NPI is 1720104938. The provider is registered as an organization entity type.
The provider Other Name Is Comm Unit School Dist 186 Tri County Sp Ed.

The provider's business location address is:

413 N APPLEKNOCKER ST
COBDEN, IL
ZIP 62920-121
Phone: (618) 893-2313
Fax: (618) 893-4772

The provider's authorized official is Karl Sweitzer .
The authorized official title is Superintendent and has the following contact phone number (618) 893-2313.

The enumeration date for this NPI number is 3/21/2007 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
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	=========001	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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