Board Of Trustees Of Southern Illinois University in Springfield - Community/behavioral Health
Board Of Trustees Of Southern Illinois University - NPI 1558539882
Board Of Trustees Of Southern Illinois University is a Community/behavioral Health in Springfield, Illinois. Board Of Trustees Of Southern Illinois University practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Board Of Trustees Of Southern Illinois University is 1558539882. The last update date is 2008-06-19.
Board Of Trustees Of Southern Illinois University's current location address is Po Box 19642, Springfield, Illinois. You can contact this provider via phone number 2175458229 and fax number 2175452275. The mailing address for Board Of Trustees Of Southern Illinois University is Po Box 19642, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Board Of Trustees Of Southern Illinois University |
|---|---|
| Address | Po Box 19642, Springfield, Illinois |
| Phone Number | 2175458229 |
| Fax Number | 2175452275 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Tkach J David |
| Telephone Number | 2175457578 |
NPI Number Detail
| NPI Number | 1558539882 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | Po Box 19642 |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627949642 |
| Phone Number | 2175458229 |
| Fax Number | 2175452275 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 10-0066401 |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100066401002 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Board Of Trustees Of Southern Illinois University by the Centers for Medicare & Medicaid Services (CMS)?
The Board Of Trustees Of Southern Illinois University has been assigned the NPI (National Provider Identifier) 1558539882. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Board Of Trustees Of Southern Illinois University's physical address?
The Board Of Trustees Of Southern Illinois University is physically located at Po Box 19642, in the city of Springfield, IL, with the postal code 627949642.
What is the area of specialization for Board Of Trustees Of Southern Illinois University, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Board Of Trustees Of Southern Illinois University is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558539882 to Board Of Trustees Of Southern Illinois University?
The Centers for Medicare & Medicaid Services originally issued the 1558539882 to Board Of Trustees Of Southern Illinois University on 2008-02-20.
As of what date was the information regarding Board Of Trustees Of Southern Illinois University, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Board Of Trustees Of Southern Illinois University, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-19.
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