Southern Illinois University Edwardsville

LBN: Southern Illinois University Edwardsville
Southern Illinois University Edwardsville is an health care organization with primary practice located at 601 James R Thompson Blvd Building D 2015, East Saint Louis IL 62201-1129. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Southern Illinois University Edwardsville can be contacted via phone (618) 482-6959, or through Ufert, Nancy via phone (618) 650-3255.

Contact Information

Primary practice address
601 James R Thompson Blvd Building D 2015 East Saint Louis IL 62201-1129
Phone: (618) 482-6959
Fax: (618) 482-8311
Website:
Map and Directions
Authorized official contact:
Name: Ufert, Nancy
Phone: (618) 650-3255

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1518140326
LBN Legal business name Southern Illinois University Edwardsville
DBA Doing business as
Authorized official Ufert, Nancy
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2007
Last updated Jul 29th, 2008 - about 17 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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