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THE CARBONDALE CLINIC AMBULATORY SURGICAL TREATMENT CENTER
NPI 1679639918
Clinic/Center - Ambulatory Surgical in Carbondale, IL

Active since December 29, 2006
2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 549-5128 Get Directions Write a Review

NPPES record last updated: May 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Carbondale Clinic Ambulatory Surgical Treatment Center NPPES

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

THE CARBONDALE CLINIC AMBULATORY SURGICAL TREATMENT CENTER (NPI 1679639918) is a healthcare organization registered as an ambulatory surgical 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

NPI1679639918
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTHE CARBONDALE CLINIC AMBULATORY SURGICAL TREATMENT CENTER
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) 457-5200
Enumeration DateDecember 29, 2006
Last NPPES UpdateMay 9, 2008
✔ NPI 1679639918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in IL · 7001019
2601 W MAIN ST, Carbondale, IL 62901
Open in Google Maps ↗

Other Identifiers 9

Other116485IL · Healthlink
Other533IL · Bcbs
Medicaid=========003IL
Medicare PIN490000473IL
Other014101IL · Hamp
Other141028IL · Medicare Group Number
Medicare PIN141028IL
Other196077IL · Ghp
Other490000473IL · Railroad Medicare Number

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 The Carbondale Clinic Ambulatory Surgical Treatment Center's NPI number?

The NPI number for The Carbondale Clinic Ambulatory Surgical Treatment Center is 1679639918. It was assigned to this organization in the NPPES registry on December 29, 2006.

Where is The Carbondale Clinic Ambulatory Surgical Treatment Center located?

The Carbondale Clinic Ambulatory Surgical Treatment Center is located at 2601 W Main St, Carbondale, IL 62901. The listed phone number is (618) 549-5361.

What is The Carbondale Clinic Ambulatory Surgical Treatment Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for The Carbondale Clinic Ambulatory Surgical Treatment Center was last updated on May 9, 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.