Organization · Type 2 NPI

Southern Illinois Regional Wellness Center

Federally Qualified Health Center (FQHC) · East St. Louis, IL

NPI number 1336258540 Active

Practice location

1736 Kingshighway
East St. Louis, IL 62204-2134

Call (618) 874-3120 Map

Fax (618) 215-4048

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

2 other providers at this address

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About NPI 1336258540

Southern Illinois Regional Wellness Center's National Provider Identifier is 1336258540, issued on Aug 30, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East St. Louis, IL. The record was last updated on Jul 6, 2016.