Siu Center For Family Medicine - General Internal Medicine Clinic

LBN: Board Of Trustees Of Southern Illinois University
Siu Center For Family Medicine - General Internal Medicine Clinic is an health care organization with primary practice located at 751 N Rutledge St Ste 1100 , Springfield IL 62702-4968. 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) 545-8000.

Contact Information

Primary practice address
751 N Rutledge St Ste 1100 Springfield IL 62702-4968
Phone: (217) 545-8000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wesley, Iris
Phone: (217) 545-8000

Health care specialties

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

Profile Details

NPI number 1679188437
LBN Legal business name Board Of Trustees Of Southern Illinois University
DBA Doing business as Siu Center For Family Medicine - General Internal Medicine Clinic
Authorized official Wesley, Iris
Entity Organization
Organization subpart 1 No
Enumeration date Sep 9th, 2020
Last updated Nov 17th, 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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