Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Belleville, IL

NPI number 1255880647 Active

Practice location

2900 Frank Scott Pkwy W, Suite 980
Belleville, IL 62223-5000

Call (618) 397-3303 Map

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

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

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

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About NPI 1255880647

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1255880647, issued on Sep 26, 2016. 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 Sep 26, 2016.