Organization
SPRING GARDEN COMMUNITY CONSOLIDATED SCHOOL DISTRICT #178
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE MURPHY (ADMINISTRATIVE ASSISTANT)
(618) 439-7231
Entity
Organization
Contact information
Practice address
14975 E BAKERVILLE RD, MOUNT VERNON, IL 62864-7100
(618) 244-8070
Mailing address
14975 E BAKERVILLE RD, MOUNT VERNON, IL 62864-7100
(618) 244-8070
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2016
Last updated
05/10/2016
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