Board of Trustees of Southern Illinois University
Doing business as Siu Center for Family Medicine - Jacksonville
Federally qualified health center in Jacksonville, IL, Medicare certification number 781854.
Medicare certification
Provider of Services- CCN
- 781854
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Jul 25, 2016
- Last certification
- Jul 25, 2016
- Address
- 345 West State Street
Jacksonville, 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 1649628009
Medicare enrollment
Other federally qualified health centers in Jacksonville, 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.