Organization · Type 2 NPI
Carbondale HS Distraict 165
Student Health Clinic/Center · Carbondale, IL
NPI number
1659497196
Active
Practice location
330 S Giant City Rd
Carbondale, IL 62902-5042
Fax (618) 457-3353
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | None listed |
Student Health Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1659497196
Carbondale HS Distraict 165's National Provider Identifier is 1659497196, issued on Mar 22, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Carbondale, IL. The record was last updated on Aug 22, 2020.