Carbondale Care A Van
LBN: Board Of Trustees Of Southern Illinois University
Carbondale Care A Van is an health care organization with primary practice located at 300 W Oak St Ste 100 , Carbondale IL 62901-1496. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Board Of Trustees Of Southern Illinois University can be contacted via phone (618) 453-3777, or through Wesley, Iris via phone (217) 545-8137.
Contact Information
Primary practice address
300 W Oak St Ste 100
Carbondale IL 62901-1496
Phone: (618) 453-3777
Fax: (618) 453-1102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1215978127 |
|---|---|
| LBN Legal business name | Board Of Trustees Of Southern Illinois University |
| DBA Doing business as | Carbondale Care A Van |
| Authorized official | Wesley, Iris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | May 3rd, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215978127 | NPPES |
| Illinois | Other | CE8688 | RR MEDICARE |
| Illinois | Other | CE8687 | RR MEDICARE |
| Illinois | Other | CE8689 | RR MEDICARE |
| Illinois | Other | CE8931 | RR MEDICARE |
| Illinois | Other | CB2589 | RR MEDICARE |
| Illinois | Other | CE8686 | RR MEDICARE |
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