Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Madison, IL
NPI number
1316126147
Active
Practice location
648 State St
Madison, IL 62060-1420
Fax (618) 397-7802
Mailing address
8080 State St
East St. Louis, IL 62203-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Madison
About NPI 1316126147
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1316126147, issued on Oct 29, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Madison, IL. The record was last updated on Oct 29, 2007.