Board of Trustees of Southern Illinois University
Doing business as Siu Center for Family Medicine Springfield 751
Federally qualified health center in Grandview, IL, Medicare certification number 781985.
Medicare certification
Provider of Services- CCN
- 781985
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Sep 3, 2021
- Last certification
- Sep 3, 2021
- Address
- 751 N Rutledge St, Ste 1100
Grandview, IL 62702
(217) 545-6523
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU Center for Family Medicine - General Internal Medicine Clinic
- Federally Qualified Health Center (FQHC)
- Springfield, IL
- NPI 1679188437
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.