SIU CENTER FOR FAMILY MEDICINE - CARBONDALE
NPI 1437708674
Clinic/Center - Federally Qualified Health Center (FQHC) in Carbondale, IL
NPI Status: Active since September 10, 2019
Contact Information
300 W OAK ST
CARBONDALE, IL
ZIP 62901
Phone: (618) 536-6621
Fax: (618) 453-1102
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
About SIU CENTER FOR FAMILY MEDICINE - CARBONDALE
This page provides the complete NPI Profile along with additional information for Siu Center For Family Medicine - Carbondale, a primary care provider established in Carbondale, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1437708674 assigned on September 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Siu Center For Family Medicine - Carbondale. The authorized official of this NPI record is Iris Wesley (Ceo)
- NPI
- 1437708674
- Provider Legal Name
- BOARD OF TRUSTEES OF SOUTHERN ILLINOIS UNIVERSITY
- Other Organization Name
- SIU CENTER FOR FAMILY MEDICINE - CARBONDALE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 300 W OAK ST CARBONDALE, IL 62901
- Location Phone
- (618) 536-6621
- Location Fax
- (618) 453-1102
- Mailing Address
- PO BOX 19639 SPRINGFIELD, IL 62794
- Mailing Phone
- (217) 545-7578
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-10-2019
- Last Update Date
- 01-09-2025
- Code Navigator
A primary care provider (PCP) like Siu Center For Family Medicine - Carbondale sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for SIU CENTER FOR FAMILY MEDICINE - CARBONDALE
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 3 | 7 | 7 | 0 | 8 | 6 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 6 | 7 | 14 | 0 | 16 | 6 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 6 + 7 + 1 + 4 + 0 + 1 + 6 + 6 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1437708674 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497376214 | EMILIE JOANN EMBERTON Individual | Physician Assistant | 300 W OAK ST CARBONDALE, IL 62901 (618) 453-8850 |
| 1760003321 | WILLIAM LYMAN Individual | Student in an Organized Health Care Education/Training Program | 300 W OAK ST CARBONDALE, IL 62901 (618) 453-8850 |
| 1407190812 | ZACHARY H MCKENTY PHYSICIAN ASSISTANT Individual | Physician Assistant | 300 W OAK ST CARBONDALE, IL 62901 (618) 453-8850 |
| 1699390344 | CLAIRE FRANCESCA MELO MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1770635062 | DR. DEEDRA GAIL MCLAIN M.D. Individual | General Practice | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1013436039 | JOELI DIEMER PAC Individual | Physician Assistant | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1790334944 | MR. DANIEL ALLEN HAGERMAN PA Individual | Physician Assistant | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1114599370 | JORDYN AUDREY DRAKE DO Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1104824598 | BRIAN JAY REACH M.D. Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (217) 545-8000 |
| 1942208988 | PAMELA KAY HUNTER-REACH M.D. Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (217) 545-8000 |
| 1235753559 | BRITTON KYLE HERRIN PA-C Individual | Physician Assistant (Medical) | 300 W OAK ST CARBONDALE, IL 62901 (217) 545-8000 |
| 1467184622 | KARAN MEHTA MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-0221 |
| 1508598509 | NIYATEE DIPAK PATEL MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1740912492 | NUPUR MISHRA Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-0221 |
| 1326768227 | ELIZABETH STERNBERG PA-C Individual | Physician Assistant | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1124705116 | ARTEMUS HOLGUIN-MILLS MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1548941842 | AMANDA SICILIA MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 549-0721 |
| 1275245300 | DR. ABIGAIL RYAN BILDERBACK PH.D. Individual | Psychologist (Clinical) | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1306687645 | MADISON ROSE FUNNEMAN MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
| 1174366512 | JONNAH SHAYNE MCMANUS MD Individual | Family Medicine | 300 W OAK ST CARBONDALE, IL 62901 (618) 536-6621 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437708674, enumerated in the NPI registry as an "organization" on September 10, 2019
The provider is located at 300 W Oak St Carbondale, Il 62901 and the phone number is (618) 536-6621
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on September 10, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.