BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1104230168
Clinic/Center in East Saint Louis, IL
NPI Status: Active since June 18, 2014
Contact Information
601 JAMES R THOMPSON BLVD
BUILDING D, SUITE 2015
EAST SAINT LOUIS, IL
ZIP 62201
Phone: (618) 482-6959
Fax: (618) 482-8311
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
- Organization
- Clinic/Center
About BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
This page provides the complete NPI Profile along with additional information for Board Of Trustees Of Southern Illinois University, a provider established in East Saint Louis, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104230168 assigned on June 2014. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated June 2026. Board Of Trustees Of Southern Illinois University operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's
- NPI
- 1104230168
- Provider Legal Name
- BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 601 JAMES R THOMPSON BLVD BUILDING D, SUITE 2015 EAST SAINT LOUIS, IL 62201
- Location Phone
- (618) 482-6959
- Location Fax
- (618) 482-8311
- Mailing Address
- 601 JAMES R THOMPSON BLVD BUILDING D, SUITE 2015 EAST SAINT LOUIS, IL 62201
- Mailing Phone
- (618) 482-6959
- Mailing Fax
- (618) 482-8311
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-18-2014
- Last Update Date
- 06-07-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104230168, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 42 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
E SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
EAST SAINT LOUIS, IL 62201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104230168, enumerated as an "organization" on June 18, 2014.
The provider is located at 601 JAMES R THOMPSON BLVD BUILDING D, SUITE 2015 EAST SAINT LOUIS, IL 62201 and the phone number is (618) 482-6959.
Clinic/Center with taxonomy code 261Q00000X.
