Siu Center For Healthy Aging And Wellness

LBN: Board Of Trustees Of Southern Illinois University
Siu Center For Healthy Aging And Wellness is an health care organization with primary practice located at 319 E Madison St Ste 1F , Springfield IL 62701-3118. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Board Of Trustees Of Southern Illinois University can be contacted via phone (217) 545-8000, or through Wesley, Iris via phone (217) 757-8137.

Contact Information

Primary practice address
319 E Madison St Ste 1F Springfield IL 62701-3118
Phone: (217) 545-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wesley, Iris
Phone: (217) 757-8137

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1205553195
LBN Legal business name Board Of Trustees Of Southern Illinois University
DBA Doing business as Siu Center For Healthy Aging And Wellness
Authorized official Wesley, Iris
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 21st, 2022
Last updated Nov 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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