| Tamaroa S D #5 | |
|
200 West Main Steet Tamaroa IL 62888 | |
| (618) 496-5513 | |
| (618) 496-3911 |
| Full Name | Tamaroa S D #5 |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 200 West Main Steet, Tamaroa, Illinois |
| Authorized Official Name and Position | Rhonda C Fleming (SECRETARY) |
| Authorized Official Contact | 6184965513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tamaroa S D #5 200 West Main Street Po Box 175 Tamaroa IL 62888-0175 Ph: (618) 496-5513 | Tamaroa S D #5 200 West Main Steet Tamaroa IL 62888 Ph: (618) 496-5513 |
| NPI Number | 1275703191 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275703191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
Tamaroa School Dist 5 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 W Main, Tamaroa, IL 62888 Phone: 618-496-5513 Fax: 618-496-3911 |