SIU CENTER FOR FAMILY MEDICINE - CARE-A-VAN
NPI 1568210425
Clinic/Center - Federally Qualified Health Center (FQHC) 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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since May 07, 2024

300 W OAK ST STE 100, CARBONDALE, IL 62901(618) 536-6621(618) 453-1102 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2025, May 7, 2024 (2 updates tracked since 2024).

On this page

About Siu Center For Family Medicine - Care-a-van NPPES

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

SIU CENTER FOR FAMILY MEDICINE - CARE-A-VAN (NPI 1568210425) is a healthcare organization registered as a federally qualified health center (fqhc) in Carbondale, Illinois and active in the NPI registry since May 2024. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1568210425

Entity TypeOrganization

Primary Taxonomy261QF0400X

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) 545-8000

Phone(618) 536-6621

Fax(618) 453-1102

Organization SubpartYes

Authorized OfficialIris WesleyCeo · (217) 757-8137

Enumeration DateMay 7, 2024

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1568210425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X

300 W OAK ST STE 100, Carbondale, IL 62901

Open in Google Maps ↗

Other Names 1

Doing Business AsSiu Center For Family Medicine - Care-a-van

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 (Rural Health)

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 1568210425. It was assigned to this organization in the NPPES registry on May 7, 2024. The provider is doing business as Siu Center For Family Medicine - Care-A-Van.

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 Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Board Of Trustees Of Southern Illinois University was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.