| Lick Creek School Dist 16 | |
|
7355 Lick Creek Rd Buncombe IL 62912-3016 | |
| (618) 833-2545 | |
| (618) 833-3201 |
| Full Name | Lick Creek School Dist 16 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 7355 Lick Creek Rd, Buncombe, Illinois |
| Authorized Official Name and Position | Gary Whitledge (SUPERINTENDENT) |
| Authorized Official Contact | 6188332545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lick Creek School Dist 16 7355 Lick Creek Rd Buncombe IL 62912-3016 Ph: (618) 833-2545 | Lick Creek School Dist 16 7355 Lick Creek Rd Buncombe IL 62912-3016 Ph: (618) 833-2545 |
| NPI Number | 1821261280 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821261280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Lick Creek C.c. School District #16 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7355 Lick Creek Rd, Buncombe, IL 62912 Phone: 618-833-2545 Fax: 618-833-3201 |