KANKAKEE SCHOOL DISTRICT 111 NPI 1225378094

NPI Information

NPI: 1225378094
Provider Name: KANKAKEE SCHOOL DISTRICT 111

Other Name: KHS SCHOOL-BASED HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1200 W JEFFERY ST
KANKAKEE, IL
ZIP 60901
Phone: (815) 933-0690
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KANKAKEE SCHOOL DISTRICT 111 is a student health clinic center in Kankakee, IL. KANKAKEE SCHOOL DISTRICT 111 NPI is 1225378094. The provider is registered as an organization entity type.
The provider Other Name Is Khs School-based Health Center.

The provider's business location address is:

1200 W JEFFERY ST
KANKAKEE, IL
ZIP 60901-667
Phone: (815) 933-0690
Fax: (815) 933-6704

The provider's authorized official is Jeanette Kreuz .
The authorized official title is Assistant Superintendent and has the following contact phone number (815) 802-7752.

The enumeration date for this NPI number is 2/15/2013 and was last updated on 2/15/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QS1000X	Clinic/Center	Student Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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