Board of Trustees of Southern Illinois University
Doing business as Southern Illinois University Center of Family Medi
Federally qualified health center in Springfield, IL, Medicare certification number 141168.
Medicare certification
Provider of Services- CCN
- 141168
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Oct 17, 2012
- Last certification
- Oct 17, 2012
- Address
- 520 N 4TH St
Springfield, IL 62702
(217) 545-7578
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Siu Center for Family Medicine
- Federally Qualified Health Center (FQHC)
- Springfield, IL
- NPI 1497002182
Medicare enrollment
Other federally qualified health centers in Springfield, IL
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.