Board of Trustees of Southern Illinois University
Doing business as Siu Center for Family Medicine-Jacksonville
Federally qualified health center in Arcadia, IL, Medicare certification number 781066.
Medicare certification
Provider of Services- CCN
- 781066
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Mar 28, 2022
- Last certification
- Mar 28, 2022
- Address
- 425 E State St, Ste 100
Arcadia, IL 62650
(217) 245-5111
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU Center for Family Medicine-Jacksonville
- Federally Qualified Health Center (FQHC)
- Jacksonville, IL
- NPI 1598412447
Medicare enrollment
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.