Southern Illinois University Student

LBN: Southern Illinois University Student
Southern Illinois University Student is an health care organization with primary practice located at 374 E Grand Ave , Carbondale IL 62901-3962. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Southern Illinois University Student can be contacted via phone (618) 453-4417, or through Chaney, Susan via phone (618) 453-4417.

Contact Information

Primary practice address
374 E Grand Ave Carbondale IL 62901-3962
Phone: (618) 453-4417
Fax: (618) 453-4672
Website:
Map and Directions
Authorized official contact:
Name: Chaney, Susan RPH
Phone: (618) 453-4417

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 054.017089 Illinois

Profile Details

NPI number 1124064035
LBN Legal business name Southern Illinois University Student
DBA Doing business as Southern Illinois University Student
Authorized official Chaney, Susan RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Apr 11th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124064035 NPPES
Other 2016773 PK

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