Tamaroa S D #5

NPI 1275703191 - Clinic/Center - 261QS1000X

NPI Details
NPI 1275703191
Enumeration Date 03/06/2008
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RHONDA C RHONDA
Position SECRETARY
Phone (618) 496-5513
Fax (618) 496-3911
Practice Location
200 WEST MAIN STEET
TAMAROA IL, 62888, US
Phone (618) 496-5513
Fax (618) 496-3911
Business Location
200 WEST MAIN STREET
PO BOX 175
TAMAROA IL, 62888-0175, US
Phone (618) 496-5513
Fax (618) 496-3911
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Tamaroa S D #5 NPI is 1275703191, taxonomy code is 261QS1000X Tamaroa S D #5 physically located at 200 West Main Steet, Tamaroa IL, 62888. NPI Number 1033115704 has the healthcare provider type.

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1275703191 NPI number is provided on an as is basis without warranty of any kind. 1275703191 is maintained by the National Plan & Provider Enumeration System. The contents of Tamaroa S D #5 are for informational purposes only.