| Prairieview Ogden Ccsd 197 | |
|
106 N Vine St Royal IL 61871 | |
| (217) 583-3300 | |
| Not Available |
| Full Name | Prairieview Ogden Ccsd 197 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 106 N Vine St, Royal, Illinois |
| Authorized Official Name and Position | Victor White (SUPERINTENDENT) |
| Authorized Official Contact | 2175833300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairieview Ogden Ccsd 197 Po Box 27 Royal IL 61871-0027 Ph: (217) 583-3300 | Prairieview Ogden Ccsd 197 106 N Vine St Royal IL 61871 Ph: (217) 583-3300 |
| NPI Number | 1013132489 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013132489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |