Board Of Trustees Of Southern Illinois University
Clinic/Center - Federally Qualified Health Center (FQHC)
About Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University is a healthcare organization providing Clinic/Center - Federally Qualified Health Center (FQHC) services, with specialized expertise in Federally Qualified Health Center (FQHC), registered under National Provider Identifier (NPI) number 1003324260.
The authorized official for Board Of Trustees Of Southern Illinois University is IRIS WESLEY. The organization is headquartered at 4409 MAINE ST STE 100, Quincy, Illinois 62305. The main office can be reached at (217) 919-9139.
It is part of BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY. Board Of Trustees Of Southern Illinois University has been NPI-registered since 2018.
Locations & Contact
Primary Location
- Address
- 4409 MAINE ST STE 100
- City
- Quincy
- State
- Illinois
- ZIP
- 62305-5849
- Phone
- (217) 919-9139
- Fax
- (217) 223-0461
Authorized Official
- Name
- IRIS WESLEY
Mailing Address
- Address
- PO BOX 19639
- City
- SPRINGFIELD
- State
- IL
- ZIP
- 627949639
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Classification
- Clinic/Center
- Specialization
- Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
- Group Practice
- BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
Frequently Asked Questions
What is Board Of Trustees Of Southern Illinois University's NPI number?
What does Board Of Trustees Of Southern Illinois University specialize in?
Where is Board Of Trustees Of Southern Illinois University located?
Does Board Of Trustees Of Southern Illinois University accept Medicare?
Does Board Of Trustees Of Southern Illinois University offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Board Of Trustees Of Southern Illinois University holds NPI 1003324260, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.