GIANT CITY SCHOOL DISTRICT 130 NPI 1457523078

NPI Information

NPI: 1457523078
Provider Name: GIANT CITY SCHOOL DISTRICT 130
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
1062 BOSKYDELL RD
CARBONDALE, IL
ZIP 62902
Phone: (618) 457-5391
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GIANT CITY SCHOOL DISTRICT 130 is a student health clinic center in Carbondale, IL. GIANT CITY SCHOOL DISTRICT 130 NPI is 1457523078. The provider is registered as an organization entity type.

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 Sharon Mayes .
The authorized official title is Superintendent and has the following contact phone number (618) 457-5391.

The enumeration date for this NPI number is 3/25/2008 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			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	=========	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

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