Pulaski Clinic – Federally Qualified Health Center (FQHC), NPI 1063404523

Pulaski Clinic is a healthcare provider. based in Carbondale, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Pulaski Clinic is 1063404523

Main info

Organization
Name
Pulaski Clinic
NPI
1063404523
Phone
(618) 457-0450
Address
PO BOX 3008
Authorized Official
MR. FREDERICK L BERNSTEIN CEO
Enumeration Date
19 August 2005
Last Update Date
1 September 2010
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Pulaski Clinic

  • Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States

    CARBONDALE, IL 629023008

    Phone: (618) 457-0450

    Fax: (618) 457-7329

    Type: Mailing

  • 100, Market Street, Pulaski, Pulaski County, Illinois, 62976, United States

    PULASKI, IL 62976

    Phone: (618) 342-6767

    Fax: (618) 342-6868

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62902)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Pulaski Clinic?
Pulaski Clinic — NPI 1063404523 — is the standard way to identify this listing.
Does CMS list Pulaski Clinic as active?
Yes — Pulaski Clinic is active in the NPI listing used on this page.
What is Pulaski Clinic's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for Pulaski Clinic here. Clinical services aligned with this taxonomy classification.
Where should I expect Pulaski Clinic on a map?
Expect Carbondale, Illinois as a primary anchor for Pulaski Clinic unless the record lists multiple sites.
Is the information about Pulaski Clinic up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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