SIU CENTER FOR FAMILY MEDICINE-JACKSONVILLE
NPI 1598412447
Clinic/Center - Federally Qualified Health Center (FQHC) in Jacksonville, 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 March 09, 2022

425 E STATE ST., STE 100, JACKSONVILLE, IL 62650(217) 408-1195(217) 408-1231 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 9, 2025, Mar 9, 2022 (2 updates tracked since 2022).

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About Siu Center For Family Medicine-jacksonville NPPES

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

SIU CENTER FOR FAMILY MEDICINE-JACKSONVILLE (NPI 1598412447) is a healthcare organization registered as a federally qualified health center (fqhc) in Jacksonville, Illinois and active in the NPI registry since March 2022. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598412447

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Location Address425 E STATE ST., STE 100Jacksonville, IL 62650-2125

Mailing AddressPo Box 19639Springfield, IL 62794-9639 · (217) 545-8000

Phone(217) 408-1195

Fax(217) 408-1231

Organization SubpartYes

Authorized OfficialIris WesleyCeo · (217) 545-8000

Enumeration DateMarch 9, 2022

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1598412447 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

425 E STATE ST., STE 100, Jacksonville, IL 62650

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Other Names 1

Doing Business AsSiu Center For Family Medicine-jacksonville

Other Providers at the Same Location NPPES

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

JODIE D. VANMETER FNP-BC

Nurse Practitioner (Family)

425 E STATE ST., STE 100
JACKSONVILLE, IL 62650

Morgan County (217) 245-5111

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 1598412447. It was assigned to this organization in the NPPES registry on March 9, 2022. The provider is doing business as Siu Center For Family Medicine-Jacksonville.

Where is Board Of Trustees Of Southern Illinois University located?

Board Of Trustees Of Southern Illinois University is located at 425 E State St., Ste 100, Jacksonville, IL 62650. The listed phone number is (217) 408-1195.

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.