Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Effingham, IL
NPI number
1013198712
Active
Practice location
900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Fax (217) 342-0232
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Dentist | 122300000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
7 other providers at this address
- Coles County Mental Health Association, IncMental Health Clinic/Center (Including Community Mental Health Center) Effingham, IL NPI 1841738283
- Dana Marie Ruholl, APNFamily Nurse Practitioner Effingham, IL NPI 1336959568
- Haritha Nallaparaju, DMDGeneral Practice Dentistry Effingham, IL NPI 1386296606
- Justin E. Hampton, LCSWClinical Social Worker Effingham, IL NPI 1184001380
- Nicole McCoy, MAMental Health Counselor Effingham, IL NPI 1215414925
- Rebekah E. Doty, FNP-CFamily Nurse Practitioner Effingham, IL NPI 1790332450
- Sandra Susan Blazek, MSWClinical Social Worker Effingham, IL NPI 1942721295
Other federally qualified health center (fqhc) providers in Effingham
About NPI 1013198712
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1013198712, issued on Nov 21, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Effingham, IL. The record was last updated on Mar 1, 2024.