CARBONDALE RURAL HEALTH CLINIC
NPI 1417013095
Clinic/Center - Rural Health in Carbondale, IL
NPI Status: Active since December 28, 2006
Contact Information
2601 W MAIN ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 549-5361
Fax: (618) 549-5128
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 14D2043807
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About CARBONDALE RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Carbondale Rural Health Clinic, a primary care provider established in Carbondale, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1417013095 assigned on December 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Mr. Allan N Norman (Chief Executive Officer)
- NPI
- 1417013095
- Provider Name
- CARBONDALE RURAL HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 2601 W MAIN ST CARBONDALE, IL 62901
- Location Phone
- (618) 549-5361
- Location Fax
- (618) 549-5128
- Mailing Address
- 2601 W MAIN ST CARBONDALE, IL 62901
- Mailing Phone
- (618) 549-5361
- Mailing Fax
- (618) 549-5128
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-28-2006
- Last Update Date
- 04-20-2008
- Code Navigator
A primary care provider (PCP) like Carbondale Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 143821 | MEDICARE PIN (08) | IL | |
| =========002 | MEDICAID (05) | IL | |
| 143821 | MEDICARE OSCAR/CERTIFICATION (06) | IL |
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
- 14D2043807
- Facility Type
- Community Clinic
- Certificate Effective Date
- July 11, 2012
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DON DOMENICO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Carbondale Rural Health Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI 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 1417013095, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
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 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CARBONDALE, IL 62901
CARBONDALE, IL 62901
CARBONDALE, IL 62901
CARBONDALE, IL 62901
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417013095, enumerated as an "organization" on December 28, 2006.
The provider is located at 2601 W MAIN ST CARBONDALE, IL 62901 and the phone number is (618) 549-5361.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
