Organization
THE BOARD OF TRUSTEES OF SIU GOVERNING SIUE
Active
Other names
Department: SIUE Health Service
Organization subpart
No
Provider details
NPI number
Authorized official
RIANE B GREENWALT (DIRECTOR, HEALTH SERVICE)
(618) 650-2852
Entity
Organization
Contact information
Practice address
STUDENT SUCCESS CTR RM 0222, CAMPUS BOX 1055, EDWARDSVILLE, IL 62026-1055
(618) 650-2850
(618) 650-5839
Mailing address
STUDENT SUCCESS CTR RM 0222, CAMPUS BOX 1055, EDWARDSVILLE, IL 62026-1055
(618) 650-2850
(618) 650-5839
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2013
Last updated
04/03/2013
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