Board of Trustees of Southern Illinois University
Doing business as Siu Medicine North Dirksen Express Care
Federally qualified health center in Springfield, IL, Medicare certification number C41017.
Medicare certification
Provider of Services- CCN
- C41017
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Feb 29, 2024
- Last certification
- Feb 29, 2024
- Address
- 3220 Atlanta St
Springfield, IL 62707
(217) 545-8000
NPI records for this facility (CCN to NPI Mapping) 1
-
dba SIU Medicine North Dirksen Express Care
- Federally Qualified Health Center (FQHC)
- Springfield, IL
- NPI 1184494619
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.