Southern Illinois University Edwardsville in East Saint Louis - Health Service
Southern Illinois University Edwardsville - NPI 1518140326
Southern Illinois University Edwardsville is a Health Service in East Saint Louis, Illinois. Southern Illinois University Edwardsville practices all healthcare services and medical treatments related to Health Service. The NPI Number for Southern Illinois University Edwardsville is 1518140326. The last update date is 2008-07-29.
Southern Illinois University Edwardsville's current location address is 601 James R Thompson Blvd, East Saint Louis, Illinois. You can contact this provider via phone number 6184826959 and fax number 6184828311. The mailing address for Southern Illinois University Edwardsville is 601 James R Thompson Blvd, East Saint Louis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois University Edwardsville |
|---|---|
| Address | 601 James R Thompson Blvd, East Saint Louis, Illinois |
| Phone Number | 6184826959 |
| Fax Number | 6184828311 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Ufert Nancy |
| Telephone Number | 6186503255 |
NPI Number Detail
| NPI Number | 1518140326 |
|---|---|
| Provider Enumeration Date | 2007-12-14 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 601 James R Thompson Blvd |
|---|---|
| City | East Saint Louis |
| State | Illinois (IL) |
| Post Code | 622011129 |
| Phone Number | 6184826959 |
| Fax Number | 6184828311 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
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What is the Southern Illinois University Edwardsville's 1518140326?
The Southern Illinois University Edwardsville's NPI (National Provider Identifier) Number is 1518140326. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southern Illinois University Edwardsville is physically located?
The Southern Illinois University Edwardsville is physically situated at the following address: 601 James R Thompson Blvd, East Saint Louis, IL, 622011129.
What is Southern Illinois University Edwardsville's area of expertise and its corresponding taxonomy classification?
The Southern Illinois University Edwardsville's field of specialization is Health Service, and it falls under the taxonomy code 261Qh0100X, which categorizes healthcare providers based on their areas of practice.
On what date did the Southern Illinois University Edwardsville receive the assignment of its 1518140326 from the Centers for Medicare & Medicaid Services?
The Southern Illinois University Edwardsville was issued its 1518140326 by the Centers for Medicare & Medicaid Services on 2007-12-14.
When was the information related to Southern Illinois University Edwardsville most recently updated or refreshed?
The details pertaining to the Southern Illinois University Edwardsville, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-29.
NPI Number: 1952305922
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