UNITY POINT CC SCHOOL DIST 140 (NPI# 1871710863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871710863 |
Entity Type | Organization |
Organization Name | UNITY POINT CC SCHOOL DIST 140 |
Other Organization Name | UNITY POINT SCHOOL |
Practice Address |
4033 S Illinois Ave Carbondale IL 62903-8375 |
Practice Telephone | 6185294151 |
Practice Fax Number | 6185294154 |
Mailing Telephone | 6185294151 |
Mailing Fax Number | 6185294154 |
Enumeration Date | 2007-04-19 |
Last Update Date | 2020-08-22 |
Authorized Official Name | WILLIAM E LASER (ACCOUNTANT) |
Authorized Official Telephone | 6185294151 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
IL | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Unity Point School | Other Name - Individual/Organization |
Street Address |
4033 S ILLINOIS AVE |
City | CARBONDALE |
State | IL |
Zip Code | 62903-8375 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861901647 | Kathy Kelley Booziotis | Speech-Language Pathologist | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2017-09-25 |
1528234499 | Unity Point School Admin | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-05-01 |
1902077043 | Unity Point School | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-03-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447625918 | Integrative Spine Care, LLC | Pain Medicine | 364 Lake Indian Hills Circle, Carbondale, IL 62903 | 2015-12-09 |
1811949910 | Devon G Barnes | Nurse Anesthetist, Certified Registered | 35 Albany Road, Suite C, Carbondale, IL 62903 | 2006-05-17 |
1316282130 | Centerstone of Illinois, Inc | Community/Behavioral Health | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2012-12-05 |
1861009128 | Ashley Pruett | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-30 |
1477167823 | Zachary Woosley | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-09-03 |
1215553110 | Margaret K Henry | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-06-17 |
1053934489 | Matthew Picchietti | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-05-20 |
1487287835 | Lyndsey Wideman | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-02-13 |
1124659024 | Matthew Leigh | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-29 |
1447890199 | Nicholas Foy | Counselor | 2311 S Illinois Ave, Carbondale, IL 62903-5912 | 2020-01-10 |
Find all providers in zip 62903 |
Taxonomy Code | 261QS1000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Student Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225156144 | Carbondale Elem Sch Dist 95 | Clinic/Center | 925 S Giant City Rd, Carbondale, IL 62902-5056 | 2007-03-27 |
1659497196 | Carbondale Hs Distraict 165 | Clinic/Center | 330 S Giant City Rd, Carbondale, IL 62902-5042 | 2007-03-22 |
1508982703 | Giant City Cc School Dist 130 | Clinic/Center | 1062 Boskydell Rd, Carbondale, IL 62902-7743 | 2007-03-21 |
1528234499 | Unity Point School Admin | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-05-01 |
1457523078 | Giant City School District 130 | Clinic/Center | 1062 Boskydell Rd, Carbondale, IL 62902-7743 | 2008-03-25 |
1972774156 | Carbondale Elem School | Clinic/Center | 925 S Giant City Rd, Carbondale, IL 62902-5056 | 2008-03-17 |
1902077043 | Unity Point School | Clinic/Center | 4033 S Illinois Ave, Carbondale, IL 62903-8375 | 2008-03-17 |
1124298690 | Carbondale Community High | Clinic/Center | 330 S Giant City Rd, Carbondale, IL 62902-5042 | 2008-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811409196 | Gavin School District 37 | Clinic/Center | 25775 W Highway 134, Ingleside, IL 60041-9587 | 2017-10-26 |
1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
1871905190 | The Board of Trustees of The University of Illinois | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2014-05-21 |
1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
1659705150 | Circle Family Healthcare Network | Clinic/Center | 4701 Harrison St, Hillside, IL 60162-1616 | 2013-09-03 |
1932441946 | The Board of Trustees of Siu Governing Siue | Clinic/Center | Student Success Ctr Rm 0222, Campus Box 1055, Edwardsville, IL 62026-1055 | 2013-03-18 |
1225378094 | Kankakee School District 111 | Clinic/Center | 1200 W Jeffery St, Kankakee, IL 60901-4667 | 2013-02-15 |
1033478383 | Rockford School District | Clinic/Center | 401 N Gardiner Ave, Rockford, IL 61107-4338 | 2012-05-07 |
Find all providers with the same taxonomy |
City | CARBONDALE |
Zip Code | 62903 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.