Department: Siue Health Service | |
Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 | |
(618) 650-2850 | |
(618) 650-5839 |
Full Name | Department: Siue Health Service |
---|---|
Speciality | Clinic/center - Student Health |
Location | Student Success Ctr Rm 0222, Edwardsville, Illinois |
Authorized Official Name and Position | Riane B Greenwalt (DIRECTOR, HEALTH SERVICE) |
Authorized Official Contact | 6186502852 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Department: Siue Health Service Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 Ph: (618) 650-2850 | Department: Siue Health Service Student Success Ctr Rm 0222 Campus Box 1055 Edwardsville IL 62026-1055 Ph: (618) 650-2850 |
NPI Number | 1932441946 |
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Provider Enumeration Date | 03/18/2013 |
Last Update Date | 04/03/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932441946 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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