Board of Trustees of Southern Illinois University
Doing business as Siu Center for Family Medicine - Carbondale
Federally qualified health center in Carbondale, IL, Medicare certification number 781933.
Medicare certification
Provider of Services- CCN
- 781933
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Oct 8, 2019
- Last certification
- Oct 8, 2019
- Address
- 300 W Oak St
Carbondale, IL 62901
(618) 536-6621
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU Center for Family Medicine - Carbondale
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1437708674
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.