Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Alton, IL

NPI number 1346402062 Active

Practice location

815 E 5th St
Alton, IL 62002-6471

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
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

17 other providers at this address

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About NPI 1346402062

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1346402062, issued on Jun 25, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Alton, IL. The record was last updated on Jul 22, 2009.