THE BOARD OF TRUSTEES OF SIU GOVERNING SIUE (NPI# 1932441946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932441946 |
| Entity Type | Organization |
| Organization Name | THE BOARD OF TRUSTEES OF SIU GOVERNING SIUE |
| Other Organization Name | DEPARTMENT: SIUE HEALTH SERVICE |
| Practice Address |
Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 |
| Practice Telephone | 6186502850 |
| Practice Fax Number | 6186505839 |
| Mailing Telephone | 6186502850 |
| Mailing Fax Number | 6186505839 |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2013-04-03 |
| Authorized Official Name | RIANE B GREENWALT (DIRECTOR, HEALTH SERVICE) |
| Authorized Official Telephone | 6186502852 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Department: SIUE Health Service | Other Name - Individual/Organization |
| Street Address |
STUDENT SUCCESS CTR RM 0222 CAMPUS BOX 1055 |
| City | EDWARDSVILLE |
| State | IL |
| Zip Code | 62026-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861018301 | Kari Kristine Hullinger | Student in an Organized Health Care Education/Training Program | Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1962028407 | Melissa Welge | Student in an Organized Health Care Education/Training Program | Southern Illinois University 6 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-21 |
| 1447876974 | Bailey Johnston | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-06-20 |
| 1649896374 | Abigail Kirstie Brohammer | Student in an Organized Health Care Education/Training Program | Siue School of Nursing Alumni Hall Room 2117, Edwardsville, IL 62026-0001 | 2020-06-18 |
| 1609498633 | Jenny Lieu | Student in an Organized Health Care Education/Training Program | 1 Hairpin Drive, Edwardsville, IL 62026-0001 | 2020-05-13 |
| 1174858005 | Sheryl L Salaris | Psychiatry & Neurology | Siue Health Counseling Services, Student Success Center, Rm. 0220, Edwardsville, IL 62026-0001 | 2009-10-09 |
| 1962659664 | Stacey M Thacker | Clinic/Center | 200 University Park Dr, Campus Box 2000, Edwardsville, IL 62026-0001 | 2008-08-25 |
| 1427182658 | Brian Shin | Dentist | 195 University Park Dr, Edwardsville, IL 62026-0001 | 2007-03-16 |
| 1164490736 | Gerald L Schlemer | Specialist/Technologist | Southern Illinois University Edwardsville, Campus Box 1129 Athletics, Edwardsville, IL 62026-0001 | 2006-03-09 |
| 1245847276 | Mai-linh Thi Nguyen | Student in an Organized Health Care Education/Training Program | 1 Hairpin Dr, Edwardsville, IL 62026-0001 | 2020-09-24 |
| Find all providers in zip 62026 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811409196 | Gavin School District 37 | Clinic/Center | 25775 W Highway 134, Ingleside, IL 60041-9587 | 2017-10-26 |
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1871905190 | The Board of Trustees of The University of Illinois | Clinic/Center | 840 Blackhawk Blvd, South Beloit, IL 61080-2263 | 2014-05-21 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1659705150 | Circle Family Healthcare Network | Clinic/Center | 4701 Harrison St, Hillside, IL 60162-1616 | 2013-09-03 |
| 1225378094 | Kankakee School District 111 | Clinic/Center | 1200 W Jeffery St, Kankakee, IL 60901-4667 | 2013-02-15 |
| 1033478383 | Rockford School District | Clinic/Center | 401 N Gardiner Ave, Rockford, IL 61107-4338 | 2012-05-07 |
| 1306117304 | Fox Lake Grade School District #114 | Clinic/Center | 29067 W Grass Lake Rd, Spring Grove, IL 60081-9494 | 2012-01-23 |
| Find all providers with the same taxonomy | ||||
| City | EDWARDSVILLE |
| Zip Code | 62026 |
Please comment or provide details below to improve the information on THE BOARD OF TRUSTEES OF SIU GOVERNING SIUE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.