Board Of Trustees Of Southern Illinois University in Carbondale - Rural Health
Board Of Trustees Of Southern Illinois University - NPI 1215978127
Board Of Trustees Of Southern Illinois University is a Rural Health in Carbondale, Illinois. Board Of Trustees Of Southern Illinois University practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Board Of Trustees Of Southern Illinois University is 1215978127. The last update date is 2022-05-03.
Board Of Trustees Of Southern Illinois University's current location address is 300 W Oak St Ste 100, Carbondale, Illinois. You can contact this provider via phone number 6184533777 and fax number 6184531102. The mailing address for Board Of Trustees Of Southern Illinois University is 300 W Oak St Ste 100, Carbondale, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Board Of Trustees Of Southern Illinois University |
|---|---|
| Address | 300 W Oak St Ste 100, Carbondale, Illinois |
| Phone Number | 6184533777 |
| Fax Number | 6184531102 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Wesley Iris |
| Telephone Number | 2175458137 |
NPI Number Detail
| NPI Number | 1215978127 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2022-05-03 |
Provider Mailing Address Detail
| Address | 300 W Oak St Ste 100 |
|---|---|
| City | Carbondale |
| State | Illinois (IL) |
| Post Code | 629011496 |
| Phone Number | 6184533777 |
| Fax Number | 6184531102 |
Provider's Primary Taxonomy Detail
| Speciality | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CE8688 | IL | RR MEDICARE | |
| CE8687 | IL | RR MEDICARE | |
| CE8689 | IL | RR MEDICARE | |
| CE8931 | IL | RR MEDICARE | |
| CB2589 | IL | RR HEALTH | |
| CE8686 | IL | RR MEDICARE |
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?
The Board Of Trustees Of Southern Illinois University has been assigned the NPI (National Provider Identifier) 1215978127. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Board Of Trustees Of Southern Illinois University is physically located?
The Board Of Trustees Of Southern Illinois University is physically situated at the following address: 300 W Oak St Ste 100, Carbondale, IL, 629011496.
What is the Board Of Trustees Of Southern Illinois University's area of specialization and corresponding taxonomy classification?
The Board Of Trustees Of Southern Illinois University's specialty field is Rural Health, and it falls under the taxonomy code 261Qr1300X, which categorizes healthcare providers based on their specialties.
On what date did Board Of Trustees Of Southern Illinois University receive its 1215978127 assignment from the Centers for Medicare & Medicaid Services?
The Board Of Trustees Of Southern Illinois University was assigned its 1215978127 on 2006-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Board Of Trustees Of Southern Illinois University most recently updated or refreshed?
The details pertaining to the Board Of Trustees Of Southern Illinois University, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-03.
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