| NPI | 1437708674 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2019-09-10 |
| Last Updated | 2025-01-09 |
| Authorized Official | Iris Wesley CEO Phone: 2175458000 |
| Mailing Address | Po Box 19639 Springfield, IL 62794-9639 United States Phone: (217) 545-7578 📍 View Map |
| Primary Practice Address | 300 W Oak St Carbondale, IL 62901-1400 United States Phone: (618) 536-6621 | Fax: (618) 453-1102 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | IL | ========= | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC) | - | - |
| No | 261QP2300X – Clinic/Center, Primary Care | - | - |
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About NPI 1437708674
Board Of Trustees Of Southern Illinois University is an organization registered in the CMS NPPES NPI Registry with NPI number 1437708674. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Carbondale, IL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-09-10. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437708674?
NPI 1437708674 belongs to Board Of Trustees Of Southern Illinois University, a Clinic/Center, Federally Qualified Health Center (FQHC) in Carbondale, IL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437708674 active?
The current status of NPI 1437708674 in the NPPES registry is Active. The record was last updated on 2025-01-09.
What specialty is NPI 1437708674?
NPI 1437708674 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437708674?
You can verify NPI 1437708674 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437708674?
The primary practice address on file for NPI 1437708674 is 300 W Oak St, Carbondale, IL 62901-1400. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437708674 issued?
NPI 1437708674 was first issued (enumerated) on 2019-09-10. The NPPES record was last updated on 2025-01-09.
Practice Location Map
Board Of Trustees Of Southern Illinois University is located at 300 W Oak St, Carbondale, IL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Board Of Trustees Of Southern Illinois University. All records sourced from the CMS NPPES registry.