Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Belleville, IL

NPI number 1194906222 Active

Practice location

207 E Main St
Belleville, IL 62220-1631

Call (618) 397-3303 Map

Fax (618) 397-7802

Mailing address

8080 State St
East St. Louis, IL 62203-1808

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Psychiatry Physician 2084P0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1194906222

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1194906222, issued on Nov 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Belleville, IL. The record was last updated on Nov 16, 2007.