South Fork School Dist #14
Organization Active NPI Case Management Agency · Kincaid, IL
NPI 1659754455 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1659754455
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- SOUTH FORK SCHOOL DIST #14
- Practice address
- 550 Prairie Street
Kincaid, IL 62540-0020 - Phone
- (217) 237-4331
- Fax
- (217) 237-2245
- NPI assigned
- Jun 30, 2015
- Organization subpart
- No
Authorized official
- Name
- Wendy Dulakis
- Title
- Bookkeeper
- Phone
- (217) 237-4331
Practitioners 2
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
550 Prairie Street
Kincaid, IL 62540-0020
Mailing address
PO Box 20
Kincaid, IL 62540-0020
Phone (217) 237-4331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1001101014024 | Medicaid | IL |
Other providers in Kincaid, IL
All providers in Kincaid, IL · Case Management Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. 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.