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NPI Code Detail

MEDICARE: BELLEVILLE SCHOOL DISTRICT 118

MEDICARE: BELLEVILLE SCHOOL DISTRICT 118
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 : 1467590166
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLEVILLE SCHOOL DISTRICT 118
Provider Business Mailing Address
First Line : 105 W A ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62220-1326
Country : US
Telephone Number : 618-234-4294
Fax Number : 618-233-4639
Provider Business Practice Location Address
First Line : 105 W A ST
Second Line :
City : BELLEVILLE
State : IL
Zip : 62220-1326
Country : US
Telephone Number : 618-234-4294
Fax Number : 618-233-4639
Authorized Official
Title or Position : SPECIAL EDUCATION DIRECTOR
Name : MRS. MELISSA TAYLOR
Credential : MSED
Telephone Number : 618-234-4294
Provider Enumeration Date : 02/02/2007
Last Update Date : 08/22/2020

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Directions to “BELLEVILLE SCHOOL DISTRICT 118 ” Practice Location

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