Board of Trustees of Southern Illinois University
Doing business as Siu FQHC – General Internal Medicine Clinic
Federally qualified health center in Springfield, IL, Medicare certification number 781082.
Medicare certification
Provider of Services- CCN
- 781082
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Nov 2, 2022
- Last certification
- Nov 2, 2022
- Address
- 747 N Rutledge St, Ste 2287-B
Springfield, IL 62702
(217) 545-8000
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU FQHC - General Internal Medicine Clinic
- Federally Qualified Health Center (FQHC)
- Springfield, IL
- NPI 1558099523
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.