The Carbondale Clinic Ambulatory Surgical Treatment Center in Carbondale - Ambulatory Surgical
The Carbondale Clinic Ambulatory Surgical Treatment Center - NPI 1679639918
The Carbondale Clinic Ambulatory Surgical Treatment Center is a Ambulatory Surgical in Carbondale, Illinois. The Carbondale Clinic Ambulatory Surgical Treatment Center practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for The Carbondale Clinic Ambulatory Surgical Treatment Center is 1679639918. The last update date is 2008-05-09.
The Carbondale Clinic Ambulatory Surgical Treatment Center's current location address is 2601 W Main St, Carbondale, Illinois. You can contact this provider via phone number 6185495361 and fax number 6185495128. The mailing address for The Carbondale Clinic Ambulatory Surgical Treatment Center is 2601 W Main St, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | The Carbondale Clinic Ambulatory Surgical Treatment Center |
|---|---|
| Address | 2601 W Main St, Carbondale, Illinois |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Norman N Allan |
| Telephone Number | 6184575200 |
NPI Number Detail
| NPI Number | 1679639918 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2008-05-09 |
Provider Mailing Address Detail
| Address | 2601 W Main St |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011031 |
| Phone Number | 6185495361 |
| Fax Number | 6185495128 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 7001019 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490000473 | IL | RAILROAD MEDICARE NUMBER | |
| 14101 | IL | HAMP | |
| 116485 | IL | HEALTHLINK | |
| 141028 | IL | MEDICARE GROUP NUMBER | |
| 196077 | IL | GHP | |
| 533 | IL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to The Carbondale Clinic Ambulatory Surgical Treatment Center by the Centers for Medicare & Medicaid Services?
The The Carbondale Clinic Ambulatory Surgical Treatment Center has been issued the NPI (National Provider Identifier) 1679639918. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the The Carbondale Clinic Ambulatory Surgical Treatment Center's physical address?
The The Carbondale Clinic Ambulatory Surgical Treatment Center is physically located at 2601 W Main St, in the city of Carbondale, IL, with the postal code 629011031.
What is The Carbondale Clinic Ambulatory Surgical Treatment Center's specialized field of practice, and what is the corresponding taxonomy classification code?
The The Carbondale Clinic Ambulatory Surgical Treatment Center's area of specialization is Ambulatory Surgical, and the corresponding taxonomy code that categorizes this field of practice is 261Qa1903X.
On what date did the The Carbondale Clinic Ambulatory Surgical Treatment Center receive the assignment of its 1679639918 from the Centers for Medicare & Medicaid Services?
The The Carbondale Clinic Ambulatory Surgical Treatment Center was issued its 1679639918 by the Centers for Medicare & Medicaid Services on 2006-12-29.
As of what date was the information pertaining to The Carbondale Clinic Ambulatory Surgical Treatment Center, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to The Carbondale Clinic Ambulatory Surgical Treatment Center, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-05-09.