St Joseph Ccsd169
St Joseph Ccsd169 is a Student Health Clinic/Center in Saint Joseph, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
409 S 5th StSaint Joseph, IL 61873-9041
Phone: (217) 469-2291
Fax: (217) 469-8906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student Health Clinic/Center (primary) | Taxonomy 261QS1000X |
|---|
Record details
| NPI number | 1689899288 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Pence — Superintendent · (217) 469-2291 |
| NPI enumerated | April 17, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 409, Saint Joseph, IL 61873-0409 |