Board of Trustees of Southern Illinois University
Board of Trustees of Southern Illinois University is a Federally Qualified Health Center (FQHC) in Carbondale, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
300 W Oak St Ste 100Carbondale, IL 62901-1496
Phone: (618) 536-6621
Fax: (618) 453-1102
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Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X |
Record details
| NPI number | 1568210425 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Board of Trustees of Southern Illinois University |
| Authorized official | Iris Wesley — Ceo · (217) 757-8137 |
| Other names | Siu Center For Family Medicine - Care-A-Van; Siu Center For Family Medicine - Care-A-Van |
| NPI enumerated | May 7, 2024 |
| Last updated in NPPES | January 9, 2025 |
| Certification date | January 9, 2025 |
| Mailing address | Po Box 19639, Springfield, IL 62794-9639 |
Other providers in Carbondale
-
Board of Trustees of Southern Illinois University
300 W Oak St, Carbondale, IL 62901-1400 · (618) 536-6621
-
Community Health & Emergency Services, Inc
1250 Cedar Ct, Carbondale, IL 62901-5334 · (618) 351-1213
-
Community Health & Emergency Services, Inc
1340 Cedar Ct, Carbondale, IL 62901-5336 · (618) 457-7821