CARBONDALE ELEM SCHOOL NPI 1972774156

NPI Information

NPI: 1972774156
Provider Name: CARBONDALE ELEM SCHOOL

Other Name: CARBONDALE ELEM SCH DIST 95

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
925 S GIANT CITY RD
CARBONDALE, IL
ZIP 62902
Phone: (618) 457-3591
Get Directions

CARBONDALE ELEM SCHOOL is a student health clinic center in Carbondale, IL. CARBONDALE ELEM SCHOOL NPI is 1972774156. The provider is registered as an organization entity type.
The provider Other Name Is Carbondale Elem Sch Dist 95.

The provider's business location address is:

925 S GIANT CITY RD
CARBONDALE, IL
ZIP 62902-056
Phone: (618) 457-3591
Fax: (618) 457-4411

The provider's authorized official is John K Williams .
The authorized official title is Assistant Superintendent and has the following contact phone number (618) 457-3591.

The enumeration date for this NPI number is 3/17/2008 and was last updated on 4/20/2008.

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
1	261QS1000X	Clinic/Center	Student Health		ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========6290103	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »