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NPI Code Detail

MEDICARE: EDWARDSVILLE CUSD7

MEDICARE: EDWARDSVILLE CUSD7
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

General Provider Information

NPI Number : 1346469103
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARDSVILLE CUSD7
Provider Business Mailing Address
First Line : 708 SAINT LOUIS ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1427
Country : US
Telephone Number : 618-655-6026
Fax Number : 618-655-6035
Provider Business Practice Location Address
First Line : 708 SAINT LOUIS ST
Second Line :
City : EDWARDSVILLE
State : IL
Zip : 62025-1427
Country : US
Telephone Number : 618-655-6026
Fax Number : 618-655-6035
Authorized Official
Title or Position : DIRECTOR OF SPECIAL EDUCATION
Name : REBECCA KOLDA
Credential :
Telephone Number : 618-655-6026
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/22/2020

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Directions to “EDWARDSVILLE CUSD7 ” Practice Location

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