Prairieview Ogden CCSD 197
Organization Active NPI Student Health Clinic/Center · Royal, IL
NPI 1013132489 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1013132489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Student Health Clinic/Center 261QS1000X
- Legal business name
- PRAIRIEVIEW OGDEN CCSD 197
- Practice address
- 106 N Vine St
Royal, IL 61871 - Phone
- (217) 583-3300
- NPI assigned
- Apr 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Victor White
- Title
- Superintendent
- Phone
- (217) 583-3300
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student Health Clinic/Center | 261QS1000X | Yes |
Addresses
Primary practice location
106 N Vine St
Royal, IL 61871
Mailing address
PO Box 27
Royal, IL 61871-0027
Phone (217) 583-3300
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.