Organization Active NPI

Giant City School District 130

  • Student Health Clinic/Center
  • Carbondale, IL
National Provider Identifier
1457523078
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
GIANT CITY SCHOOL DISTRICT 130
Practice address
1062 Boskydell Rd
Carbondale, IL 62902-7743
Phone
(618) 457-5391
Fax
(618) 549-5060
NPI assigned
Mar 25, 2008
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mrs. Sharon Mayes
Title
Superintendent
Phone
(618) 457-5391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1062 Boskydell Rd
Carbondale, IL 62902-7743

Mailing address

1062 Boskydell Rd
Carbondale, IL 62902-7743
Phone (618) 457-5391

National Provider Directory

National Provider Directory
Tax ID family
Giant City CC School Dist 1302 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.

Locations

1062 Boskydell Rd
Carbondale, IL 62902
Phone (618) 457-5391

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1457523078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1062 BOSKYDELL RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027743",
            "telephone_number": "618-457-5391",
            "fax_number": "618-549-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1062 BOSKYDELL RD",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629027743",
            "telephone_number": "618-457-5391",
            "fax_number": "618-549-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIANT CITY SCHOOL DISTRICT 130",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "618-457-5391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • 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.