BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1396097960
Clinic/Center - Primary Care in Springfield, IL
NPI Status: Active since October 08, 2012
Contact Information
520 N 4TH ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 757-8100
Fax: (217) 747-1351
- Organization
- Clinic/Center
- Primary Care
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 primary care provider established in Springfield, Illinois operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1396097960 assigned on October 2012. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated April 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
- 1396097960
- Provider Legal Name
- BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 520 N 4TH ST SPRINGFIELD, IL 62702
- Location Phone
- (217) 757-8100
- Location Fax
- (217) 747-1351
- Mailing Address
- PO BOX 19639 SPRINGFIELD, IL 62794
- Mailing Phone
- (217) 545-8000
- Mailing Fax
- (217) 747-1351
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-08-2012
- Last Update Date
- 04-20-2026
- Code Navigator
A primary care provider (PCP) like Board Of Trustees Of Southern Illinois University sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License State
- IL
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 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
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 1396097960, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SPRINGFIELD, IL 62702
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396097960, enumerated as an "organization" on October 08, 2012.
The provider is located at 520 N 4TH ST SPRINGFIELD, IL 62702 and the phone number is (217) 757-8100.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
