SIU CENTER FOR FAMILY MEDICINE - PITTSFIELD - NPI 1619501871

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.

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About Siu Center For Family Medicine - Pittsfield NPPES

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

SIU CENTER FOR FAMILY MEDICINE - PITTSFIELD (NPI 1619501871) is a healthcare organization registered as a federally qualified health center (fqhc) in Pittsfield, Illinois and active in the NPI registry since February 2020. The organization lists Iris Wesley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619501871

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameBOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY

Location Address606 W ADAMS STPittsfield, IL 62363-1308

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

Phone(217) 285-4407

Fax(217) 285-4639

Organization SubpartYes

Authorized OfficialIris WesleyCeo · (217) 545-8000

Enumeration DateFebruary 26, 2020

Last NPPES UpdateJanuary 9, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1619501871 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

606 W ADAMS ST, Pittsfield, IL 62363

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Other Names 1

Doing Business AsSiu Center For Family Medicine - Pittsfield

Other Providers at the Same Location NPPES 7

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

MENTAL HEALTH CENTERS OF WESTERN ILLINOIS

Clinic/Center (Mental Health (Including Community Mental Health Center))