Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Red Bud, IL
NPI number
1033573183
Active
Practice location
824 Locust St
Red Bud, IL 62278-1209
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Another provider at this address
About NPI 1033573183
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1033573183, issued on Apr 5, 2016. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Red Bud, IL. The record was last updated on Mar 1, 2024.