Organization · Type 2 NPI

Southern Illinois Healthcare Foundation Inc

Federally Qualified Health Center (FQHC) · Belleville, IL

NPI number 1255104923 Active

Practice location

180 S 3rd St Ste 300
Belleville, IL 62220-1952

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XNone listed
Interventional Cardiology Physician 207RI0011XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

3 other providers at this address

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About NPI 1255104923

Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1255104923, issued on Nov 3, 2023. 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 3, 2023.