BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
NPI 1396386181
Clinic/Center - Rural Health in Carbondale, IL

Q: What is Board Of Trustees Of Southern Illinois University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since October 02, 2019

300 W OAK ST STE 100, CARBONDALE, IL 62901(618) 536-6621 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Board Of Trustees Of Southern Illinois University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY (NPI 1396386181) is a healthcare organization registered as a rural health in Carbondale, Illinois and active in the NPI registry since October 2019. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396386181

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Location Address300 W OAK ST STE 100Carbondale, IL 62901-1496

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-7876

Phone(618) 536-6621

Organization SubpartNo

Authorized OfficialIris WesleyCeo · (217) 545-8000

Enumeration DateOctober 2, 2019

✔ NPI 1396386181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

300 W OAK ST STE 100, Carbondale, IL 62901

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Clinic/Center (Rural Health)

300 W OAK ST STE 100
CARBONDALE, IL 62901

Jackson County (618) 453-3777

BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Clinic/Center (Federally Qualified Health Center (FQHC))

300 W OAK ST STE 100
CARBONDALE, IL 62901

Jackson County (618) 536-6621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Board Of Trustees Of Southern Illinois University's NPI number?

The NPI number for Board Of Trustees Of Southern Illinois University is 1396386181. It was assigned to this organization in the NPPES registry on October 2, 2019.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 300 W Oak St Ste 100, Carbondale, IL 62901. The listed phone number is (618) 536-6621.

What is Board Of Trustees Of Southern Illinois University's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.