| Carbondale Rural Health Clinic | |
|
2601 W Main St Carbondale IL 62901-1031 | |
| (618) 549-5361 | |
| (618) 549-5128 |
| Full Name | Carbondale Rural Health Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2601 W Main St, Carbondale, Illinois |
| Authorized Official Name and Position | Allan N Norman (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6185495361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carbondale Rural Health Clinic 2601 W Main St Carbondale IL 62901-1031 Ph: (618) 549-5361 | Carbondale Rural Health Clinic 2601 W Main St Carbondale IL 62901-1031 Ph: (618) 549-5361 |
| NPI Number | 1417013095 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417013095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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