Carbondale Community High

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

CARBONDALE COMMUNITY HIGH

Practice address

330 S Giant City Rd
Carbondale, IL 62902-5042

Phone

(618) 457-4722

Fax

(618) 457-3353

NPI assigned

Mar 11, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Steve Kosco

Title

Financial Officer

Phone

(618) 457-4722

Specialties & licenses 1

Addresses

Tax ID family

Carbondale Community High2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carbondale HS Distraict 165

  • Student Health Clinic/Center
  • Carbondale, IL
  • NPI 1659497196
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1124298690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S GIANT CITY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629025042",
            "telephone_number": "618-457-4722",
            "fax_number": "618-457-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S GIANT CITY RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629025042",
            "telephone_number": "618-457-4722",
            "fax_number": "618-457-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONDALE COMMUNITY HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KOSCO",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "FINANCIAL OFFICER",
        "authorized_official_telephone_number": "618-457-4722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Cameron, NP
• Gerald R Cameron, PA-C
• Allison Campos, N.P.
• Jennifer Sue Campos, FNP-BC, CCRN, CMC
• Martha Cantrell, LPN
• Carbondale Elem SCH Dist 95
• Carbondale Elem School
• Carbondale Family Chiropractic LLC
• Carbondale Family Medicine,LLC
• Carbondale HS Distraict 165

• Student Health Clinic/Center in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Student Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.