| Tri-county Sp Ed Jnt Agreement | |
|
819 Walnut St Murphysboro IL 62966-2126 | |
| (618) 684-3781 | |
| (618) 684-2465 |
| Full Name | Tri-county Sp Ed Jnt Agreement |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 819 Walnut St, Murphysboro, Illinois |
| Authorized Official Name and Position | Janet J Bush (BUSINESS MANAGER) |
| Authorized Official Contact | 6186843781 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-county Sp Ed Jnt Agreement 819 Walnut St Murphysboro IL 62966-2126 Ph: (618) 684-3781 | Tri-county Sp Ed Jnt Agreement 819 Walnut St Murphysboro IL 62966-2126 Ph: (618) 684-3781 |
| NPI Number | 1023284916 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023284916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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Tri-county Sp Ed Jnt Agreement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 Walnut St, Murphysboro, IL 62966 Phone: 618-684-3781 Fax: 618-684-2465 |