Siu Center For Family Medicine

LBN: Board Of Trustees Of Southern Illinois University
Siu Center For Family Medicine is an health care organization with primary practice located at 520 N 4Th St , Springfield IL 62702-5238. 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 Toth, Linda A via phone (217) 545-8000.

Contact Information

Primary practice address
520 N 4Th St Springfield IL 62702-5238
Phone: (217) 545-8000
Fax: (217) 747-1351
Website:
Map and Directions
Authorized official contact:
Name: Toth, Linda A PH.D
Phone: (217) 545-8000

Health care specialties

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

Profile Details

NPI number 1497002182
LBN Legal business name Board Of Trustees Of Southern Illinois University
DBA Doing business as Siu Center For Family Medicine
Authorized official Toth, Linda A PH.D
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2012
Last updated Aug 13th, 2015 - about 9 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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