DONGOLA SCH UNIT DIST 66 (NPI# 1104096932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104096932 |
| Entity Type | Organization |
| Organization Name | DONGOLA SCH UNIT DIST 66 |
| Other Organization Name | DONGOLA SCH UNIT DIST 66 |
| Practice Address |
1000 High St. Dongola IL 62926-0190 |
| Mailing Address |
Po Box 190 Dongola IL 62926-0190 |
| Practice Telephone | 6188273841 |
| Practice Fax Number | 6188274641 |
| Mailing Telephone | 6188273841 |
| Mailing Fax Number | 6188274641 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |
| Authorized Official Name | MR. BRETT SHAWN GAYER (SUPERINTENDENT/PRINCIPAL) |
| Authorized Official Telephone | 6188273841 |
| Authorized Official Credential | EDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 3760047396292601 | 05 |
| Other Name | Type Code |
|---|---|
| Dongola Sch Unit Dist 66 | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| Street Address |
1000 HIGH ST. |
| City | DONGOLA |
| State | IL |
| Zip Code | 62926-0190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366506628 | Rural Health, Inc. | Clinic/Center | 318 N Us Highway 51, Dongola, IL 62926 | 2006-12-21 |
| 1154597698 | Dongola School Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2008-05-05 |
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| 1568762227 | A. Ruth Dodd | Massage Therapist | 305 South St, Dongola, IL 62926-1036 | 2010-10-28 |
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1457721532 | Haley D Kostecki | Physician Assistant | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1366506628 | Rural Health, Inc. | Clinic/Center | 318 N Us Highway 51, Dongola, IL 62926 | 2006-12-21 |
| 1457721532 | Haley D Kostecki | Physician Assistant | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2015-10-01 |
| 1568762227 | A. Ruth Dodd | Massage Therapist | 305 South St, Dongola, IL 62926-1036 | 2010-10-28 |
| 1154597698 | Dongola School Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2008-05-05 |
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1871905190 | The Board of Trustees of The University of Illinois | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2014-05-21 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1659705150 | Circle Family Healthcare Network | Clinic/Center | 4701 Harrison St, Hillside, IL 60162-1616 | 2013-09-03 |
| 1932441946 | The Board of Trustees of Siu Governing Siue | Clinic/Center | Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 | 2013-03-18 |
| 1225378094 | Kankakee School District 111 | Clinic/Center | 1200 W Jeffery St, Kankakee, IL 60901-4667 | 2013-02-15 |
| 1033478383 | Rockford School District | Clinic/Center | 401 N Gardiner Ave, Rockford, IL 61107-4338 | 2012-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.