Organization · Type 2 NPI

Board of Trustees of Southern Illinois University

Federally Qualified Health Center (FQHC) · Quincy, IL

NPI number 1922515451 Active

Practice location

330 Vermont St Ste 211
Quincy, IL 62301-2700

Call (217) 222-8440 Map

Mailing address

PO Box 19639
Springfield, IL 62794-9639

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1922515451

Board of Trustees of Southern Illinois University's National Provider Identifier is 1922515451, issued on Jan 5, 2018. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Quincy, IL. The record was last updated on Jan 5, 2018.