institution
Board Of Trustees Of Southern Illinois University
Rural Health Clinic/Center in Carbondale, Illinois
NPI 1215978127

Board Of Trustees Of Southern Illinois University is a Rural Health Clinic/Center based in Springfield, IL and is specialized in Rural Health. Board Of Trustees Of Southern Illinois University practices in Carbondale, IL. The NPI Number for Board Of Trustees Of Southern Illinois University is 1215978127 and holds a License No. (Illinois).

The current practice location address for Board Of Trustees Of Southern Illinois University is 300 W Oak St Ste 100, Carbondale, IL and can be reached out via phone at 618-453-3777 and via fax at 618-453-1102.

Location: 300 W Oak St Ste 100, Carbondale, IL, 62702-5131
institution
Provider Profile Details
NPI Number
1215978127
Provider Name
Board Of Trustees Of Southern Illinois University
Credential
Provider Entity Type
Organization
Address
300 W Oak St Ste 100, Carbondale, IL, 62702-5131
Phone Number
618-453-3777
Fax Number
618-453-1102
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CE8688 01 IL RR MEDICARE
CE8687 01 IL RR MEDICARE
CE8689 01 IL RR MEDICARE
CE8931 01 IL RR MEDICARE
CB2589 01 IL RR HEALTH
CE8686 01 IL RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
300 W Oak St Ste 100
City
State
Zip
62901-1496
Phone Number
618-453-3777
Fax Number
618-453-1102
person
Provider Business Mailing Address Details
Address
300 W Oak St Ste 100
City
State
Zip
62901-1496
Phone Number
618-453-3777
Fax Number
618-453-1102
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
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Definition
Definition to come...
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