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CARBONDALE RURAL HEALTH CLINIC
NPI 1417013095
Clinic/Center - Rural Health in Carbondale, IL

Active since December 28, 2006
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 549-5128 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carbondale Rural Health Clinic NPPES

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

CARBONDALE RURAL HEALTH CLINIC (NPI 1417013095) is a healthcare organization registered as a rural health in Carbondale, Illinois and active in the NPI registry since December 2006. The organization lists Allan N Norman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1417013095
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCARBONDALE RURAL HEALTH CLINIC
Location Address2601 W MAIN STCarbondale, IL 62901-1031
Mailing Address2601 W Main StCarbondale, IL 62901-1031 · (618) 549-5361 · Fax (618) 549-5128
Phone(618) 549-5361
Fax(618) 549-5128
Organization SubpartYesParent: Carbondale Clinic, S. C
Authorized OfficialAllan N NormanChief Executive Officer · (618) 549-5361
Enumeration DateDecember 28, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1417013095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2601 W MAIN ST, Carbondale, IL 62901
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Other Identifiers 3

Medicare PIN143821IL
Medicaid=========002IL
Medicare OSCAR/certification143821IL

Other Providers at the Same Location NPPES 20

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

MELISSA A MARTINEZ MATEO M.D.
Internal Medicine (Gastroenterology)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
CYNTHIA SNIDER APRN
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
ASHLEY NICOLE MITCHELL APRN, FNP-BC
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
PHYSICIANS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
THE CARBONDALE CLINIC
Clinic/Center (Multi-Specialty)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 457-5200
LINDSAY B CASOLARI NP
Nurse Practitioner
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
DR. IS-HAQ MALIK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361
JANNICE EDMONSON NP
Nurse Practitioner (Psychiatric/Mental Health)
2601 W MAIN ST
CARBONDALE, IL 62901
Jackson County (618) 549-5361

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 Carbondale Rural Health Clinic's NPI number?

The NPI number for Carbondale Rural Health Clinic is 1417013095. It was assigned to this organization in the NPPES registry on December 28, 2006.

Where is Carbondale Rural Health Clinic located?

Carbondale Rural Health Clinic is located at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is Carbondale Rural Health Clinic'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 Carbondale Rural Health Clinic was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.