GIANT CITY CC SCHOOL DIST 130 NPI 1508982703

NPI Information

  • NPI: 1508982703
  • Provider Name: GIANT CITY CC SCHOOL DIST 130
  • Classification: Clinic/Center - 261QS1000X
  • Specialization: Student Health
  • Entity Type: Organization
  • Doing Business As: GIANT CITY SCHOOL DISTRICT 130
  • Address: 1062 BOSKYDELL RD
    CARBONDALE, IL
    ZIP 62902
  • Phone: (618) 457-5391

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NPI Details

GIANT CITY CC SCHOOL DIST 130 is a student health clinic center in Carbondale, IL. GIANT CITY CC SCHOOL DIST 130 NPI is 1508982703. The provider is registered as an organization entity type.
The provider Is Doing Business As Giant City School District 130.

The provider's business location address is:

1062 BOSKYDELL RD
CARBONDALE, IL
ZIP 62902-743
Phone: (618) 457-5391
Fax: (618) 549-5060

The provider's authorized official is William R Rogers .
The authorized official title is Superintendent and has the following contact phone number (618) 457-5391.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS1000XClinic/CenterStudent HealthILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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