Central School District #104

LBN: Central School District #104
Central School District #104 is an health care organization with primary practice located at 309 Hartman Ln , O Fallon IL 62269-1725. The organization recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as the primary health care specialty. Central School District #104 can be contacted via phone (618) 632-6336, or through Amizich, Steve via phone (618) 632-6336.

Contact Information

Primary practice address
309 Hartman Ln O Fallon IL 62269-1725
Phone: (618) 632-6336
Fax: (618) 632-0870
Website:
Map and Directions
Authorized official contact:
Name: Amizich, Steve
Phone: (618) 632-6336

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1043356678
LBN Legal business name Central School District #104
DBA Doing business as
Authorized official Amizich, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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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