| Tri County Sp Ed Jnt Agreement | |
|
1725 Shomaker Dr Murphysboro IL 62966-2507 | |
| (618) 684-2109 | |
| Not Available |
| Full Name | Tri County Sp Ed Jnt Agreement |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1725 Shomaker Dr, Murphysboro, Illinois |
| Authorized Official Name and Position | Tim P. O'leary (SUPERINTENDENT) |
| Authorized Official Contact | 6183579096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri County Sp Ed Jnt Agreement 1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 | Tri County Sp Ed Jnt Agreement 1725 Shomaker Dr Murphysboro IL 62966-2507 Ph: (618) 684-2109 |
| NPI Number | 1679693949 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679693949 | NPI | - | NPPES |
| 376004298001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Comm Unit School District 186 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 | |
Comm Unit School Dist 186 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 | |
Murphysboro Internal Medicine Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1032 N 6th St, Murphysboro, IL 62966 Phone: 618-684-6408 Fax: 618-684-3637 | |
Evan T Belfer Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 N 14th St, Murphysboro, IL 62966 Phone: 618-687-2319 Fax: 618-684-3321 | |
Medical Arts Clinic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 E Shawnee Dr, Murphysboro, IL 62966 Phone: 618-684-2172 Fax: 618-687-4480 | |
Comm Unit School Dist 186 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 |