Organization
GIANT CITY CC SCHOOL DIST 130
Active
Other names
Giant City School District 130
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM R ROGERS M.S. EDUCATION ADMIN (SUPERINTENDENT)
(618) 457-5391
Entity
Organization
Contact information
Practice address
1062 BOSKYDELL RD, CARBONDALE, IL 62902-7743
(618) 457-5391
(618) 549-5060
Mailing address
1062 BOSKYDELL RD, CARBONDALE, IL 62902-7743
(618) 457-5391
(618) 549-5060
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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