Organization Active NPI

Unity Point School

  • Student Health Clinic/Center
  • Carbondale, IL
National Provider Identifier
1902077043
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
UNITY POINT SCHOOL
Practice address
4033 S Illinois Ave
Carbondale, IL 62903-8375
Phone
(618) 529-4151
Fax
(618) 529-4154
NPI assigned
Mar 17, 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
William E Laser
Title
Accountant
Phone
(618) 529-4151

Specialties & licenses 1

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

Addresses

Primary practice location

4033 S Illinois Ave
Carbondale, IL 62903-8375

Mailing address

4033 S Illinois Ave
Carbondale, IL 62903-8375
Phone (618) 529-4151

Other names 1

  • Unity Point CC School Dist 140 Other name

National Provider Directory

National Provider Directory
Tax ID family
Unity Point CC School Dist 1403 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1902077043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 S ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629038375",
            "telephone_number": "618-529-4151",
            "fax_number": "618-529-4154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 S ILLINOIS AVE",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629038375",
            "telephone_number": "618-529-4151",
            "fax_number": "618-529-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY POINT SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "LASER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "618-529-4151"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unity Point CC School Dist 140",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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.