| Carbondale Community High | |
|
330 S Giant City Rd Carbondale IL 62902-5042 | |
| (618) 457-4722 | |
| (618) 457-3353 |
| Full Name | Carbondale Community High |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 330 S Giant City Rd, Carbondale, Illinois |
| Authorized Official Name and Position | Steve Kosco (FINANCIAL OFFICER) |
| Authorized Official Contact | 6184574722 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbondale Community High 330 S Giant City Rd Carbondale IL 62902-5042 Ph: (618) 457-4722 | Carbondale Community High 330 S Giant City Rd Carbondale IL 62902-5042 Ph: (618) 457-4722 |
| NPI Number | 1124298690 |
|---|---|
| Provider Enumeration Date | 03/11/2008 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124298690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (Illinois) | Primary |
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Southern Illinois Gi Specialists Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 W Diann Ln, Carbondale, IL 62901 Phone: 618-549-8006 Fax: 618-549-8434 | |
Center For Medical Arts Rural Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878 | |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W Oak St Ste 100, Carbondale, IL 62901 Phone: 217-545-8000 |