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CARBONDALE CARE A VAN
NPI 1215978127
Clinic/Center - Rural Health in Carbondale, IL

Active since June 10, 2006
300 W OAK ST STE 100, CARBONDALE, IL 62901(618) 453-3777(618) 453-1102 Get Directions Write a Review

NPPES record last updated: May 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carbondale Care A Van NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARBONDALE CARE A VAN (NPI 1215978127) is a healthcare organization registered as a rural health in Carbondale, Illinois and active in the NPI registry since June 2006. The organization lists Iris Wesley, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1215978127
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Location Address300 W OAK ST STE 100Carbondale, IL 62901-1496
Mailing Address201 E Madison St Ste 328Springfield, IL 62702-5131 · (217) 545-6523 · Fax (217) 545-4410
Phone(618) 453-3777
Fax(618) 453-1102
Organization SubpartNo
Authorized OfficialIris WesleyC.e.o. · (217) 545-8137
Enumeration DateJune 10, 2006
Last NPPES UpdateMay 3, 2022
NPPES CertifiedMay 3, 2022
✔ NPI 1215978127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
300 W OAK ST STE 100, Carbondale, IL 62901
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Other Names 2

Doing Business AsCarbondale Care A Van
Doing Business AsSiu School Of Medicine

Other Identifiers 6

OtherCE8687IL · Rr Medicare
OtherCE8688IL · Rr Medicare
OtherCE8689IL · Rr Medicare
OtherCB2589IL · Rr Health
OtherCE8931IL · Rr Medicare
OtherCE8686IL · Rr Medicare

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Rural Health)
300 W OAK ST STE 100
CARBONDALE, IL 62901
Jackson County (618) 536-6621
BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Clinic/Center (Federally Qualified Health Center (FQHC))
300 W OAK ST STE 100
CARBONDALE, IL 62901
Jackson County (618) 536-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of Southern Illinois University's NPI number?

The NPI number for Board Of Trustees Of Southern Illinois University is 1215978127. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Carbondale Care A Van and Siu School Of Medicine.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 300 W Oak St Ste 100, Carbondale, IL 62901. The listed phone number is (618) 453-3777.

What is Board Of Trustees Of Southern Illinois University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on May 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.