South Fork School Dist #14

LBN: South Fork School Dist #14
South Fork School Dist #14 is an health care organization with primary practice located at 550 Prairie Street , Kincaid IL 62540-0020. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. South Fork School Dist #14 can be contacted via phone (217) 237-4331, or through Dulakis, Wendy via phone (217) 237-4331.

Contact Information

Primary practice address
550 Prairie Street Kincaid IL 62540-0020
Phone: (217) 237-4331
Fax: (217) 237-2245
Website:
Map and Directions
Authorized official contact:
Name: Dulakis, Wendy
Phone: (217) 237-4331

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X

Profile Details

NPI number 1659754455
LBN Legal business name South Fork School Dist #14
DBA Doing business as
Authorized official Dulakis, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2015
Last updated Jun 30th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659754455 NPPES
Illinois MEDICAID 1001101014024

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