STUDENT HEALTH CENTER
NPI 1023151461
Clinic/Center in Carbondale, IL
NPI Status: Active since February 15, 2007
Contact Information
374 EAST GRAND AVENUE
MAIL CODE 674D
CARBONDALE, IL
ZIP 62901
Phone: (618) 453-3311
Fax: (618) 453-4449
NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- CLIA Number: 14D2067841
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-22-2027
About STUDENT HEALTH CENTER
This page provides the complete NPI Profile along with additional information for Student Health Center, a provider established in Carbondale, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023151461 assigned on February 2007. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Student Health Center. The authorized official of this NPI record is Ms. Cheryl A Presley Phd (Director Siu Student Health Center)
- NPI
- 1023151461
- Provider Legal Name
- SOUTHERN ILLINOIS UNIVERSITY
- Other Organization Name
- STUDENT HEALTH CENTER
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 374 EAST GRAND AVENUE MAIL CODE 674D CARBONDALE, IL 62901
- Location Phone
- (618) 453-3311
- Location Fax
- (618) 453-4449
- Mailing Address
- 374 EAST GRAND AVENUE MAIL CODE 674D CARBONDALE, IL 62901
- Mailing Phone
- (618) 453-3311
- Mailing Fax
- (618) 453-4449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-15-2007
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2067841
- Facility Type
- Physician Office
- Certificate Effective Date
- October 23, 2025
- Certificate Expiration Date
- October 22, 2027
- Laboratory Director
- DEREK G. KENNEASTER M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Student Health Center in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023151461, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 49 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023151461, enumerated as an "organization" on February 15, 2007.
The provider is located at 374 EAST GRAND AVENUE MAIL CODE 674D CARBONDALE, IL 62901 and the phone number is (618) 453-3311.
Clinic/Center with taxonomy code 261Q00000X.
