Board of Trustees of Southern Illinois University
Doing business as Siu Center for Family Med Transitions Western Il
Federally qualified health center in Quincy, IL, Medicare certification number 781904.
Medicare certification
Provider of Services- CCN
- 781904
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Apr 18, 2018
- Last certification
- Apr 18, 2018
- Address
- 4409 Maine St Suite 100
Quincy, IL 62305
(217) 223-0461
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU Center for Family Medicine - Transitions of Western Illinois
- Federally Qualified Health Center (FQHC)
- Quincy, IL
- NPI 1003324260
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.