Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Swansea, IL
NPI number
1063691897
Active
Practice location
4969 Benchmark Centre Dr Ste 100
Swansea, IL 62226-8928
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 |
| Family Medicine Physician | 207Q00000X | None listed |
| Pediatrics Physician | 208000000X | 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 |
| Pediatric Nurse Practitioner | 363LP0200X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
Other federally qualified health center (fqhc) providers in Swansea
About NPI 1063691897
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1063691897, issued on Oct 29, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Swansea, IL. The record was last updated on Mar 1, 2024.