CARBONDALE HS DISTRAICT 165 (NPI# 1659497196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659497196 |
| Entity Type | Organization |
| Organization Name | CARBONDALE HS DISTRAICT 165 |
| Other Organization Name | CARBONDALE COMMUNITY HIGH |
| Practice Address |
330 S Giant City Rd Carbondale IL 62902-5042 |
| Practice Telephone | 6184574722 |
| Practice Fax Number | 6184573353 |
| Mailing Telephone | 6184574722 |
| Mailing Fax Number | 6184573353 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVE R KOSCO (FINANCIAL OFFICER) |
| Authorized Official Telephone | 6184574722 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Carbondale Community High | Other Name - Individual/Organization |
| Street Address |
330 S GIANT CITY RD |
| City | CARBONDALE |
| State | IL |
| Zip Code | 62902-5042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124298690 | Carbondale Community High | Clinic/Center | 330 S Giant City Rd, Carbondale, IL 62902-5042 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114200482 | Pamela K. Zeigler | Speech-Language Pathologist | 2880 Wolf Creek Road, Carbondale, IL 62902 | 2011-09-23 |
| 1043504541 | Melanie Wick Singer | Speech-Language Pathologist | 51 Carolyn Drive, #q, Carbondale, IL 62902 | 2011-06-02 |
| 1518286624 | Kaci Moeller | Physical Therapist | 2001e Creekwood, Carbondale, IL 62902 | 2010-05-28 |
| 1417173782 | Debra Lynn Braunling Mcmorrow | Psychologist | 306 W Mill Street, 2nd Floor, Carbondale, IL 62902 | 2007-04-17 |
| 1942352083 | Damaris Miltenberger Language & Learning Center, Ltd | Speech-Language Pathologist | 301 S. Wall St., Suite B, Carbondale, IL 62902 | 2007-01-17 |
| 1013288968 | Jenny Moss Occupational Therapy Services, Inc. | Early Intervention Provider Agency | 7207 Grassy Rd, Carbondale, IL 62902-0465 | 2012-01-24 |
| 1114482734 | Erin Anderson | Occupational Therapy Assistant | 2595 S Wolf Creek Rd, Carbondale, IL 62902-0572 | 2019-02-07 |
| 1679749576 | Gina M. Hill | Student in an Organized Health Care Education/Training Program | 4269 Lager Ln, Carbondale, IL 62902-0970 | 2008-05-01 |
| 1649712829 | Carolyn Fasnacht | Student in an Organized Health Care Education/Training Program | 2775 Skyhawk Rd, Carbondale, IL 62902-1008 | 2016-11-05 |
| 1235627654 | Brandy S Smith | Behavioral Analyst | 136 Premier Ln, Carbondale, IL 62902-4101 | 2018-05-01 |
| Find all providers in zip 62902 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710863 | Unity Point Cc School Dist 140 | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2007-04-19 |
| 1225156144 | Carbondale Elem Sch Dist 95 | Clinic/Center | 925 S Giant City Rd, Carbondale, IL 62902-5056 | 2007-03-27 |
| 1508982703 | Giant City Cc School Dist 130 | Clinic/Center | 1062 Boskydell Rd, Carbondale, IL 62902-7743 | 2007-03-21 |
| 1528234499 | Unity Point School Admin | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-05-01 |
| 1457523078 | Giant City School District 130 | Clinic/Center | 1062 Boskydell Rd, Carbondale, IL 62902-7743 | 2008-03-25 |
| 1972774156 | Carbondale Elem School | Clinic/Center | 925 S Giant City Rd, Carbondale, IL 62902-5056 | 2008-03-17 |
| 1902077043 | Unity Point School | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-03-17 |
| 1124298690 | Carbondale Community High | Clinic/Center | 330 S Giant City Rd, Carbondale, IL 62902-5042 | 2008-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409196 | Gavin School District 37 | Clinic/Center | 25775 W Highway 134, Ingleside, IL 60041-9587 | 2017-10-26 |
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1871905190 | The Board of Trustees of The University of Illinois | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2014-05-21 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1659705150 | Circle Family Healthcare Network | Clinic/Center | 4701 Harrison St, Hillside, IL 60162-1616 | 2013-09-03 |
| 1932441946 | The Board of Trustees of Siu Governing Siue | Clinic/Center | Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 | 2013-03-18 |
| 1225378094 | Kankakee School District 111 | Clinic/Center | 1200 W Jeffery St, Kankakee, IL 60901-4667 | 2013-02-15 |
| 1033478383 | Rockford School District | Clinic/Center | 401 N Gardiner Ave, Rockford, IL 61107-4338 | 2012-05-07 |
| Find all providers with the same taxonomy | ||||
| City | CARBONDALE |
| Zip Code | 62902 |
Please comment or provide details below to improve the information on CARBONDALE HS DISTRAICT 165.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.