Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc

Federally Qualified Health Center (FQHC) · Alton, IL

NPI number 1356377568 Active

Practice location

2 Memorial Dr, Suite 122
Alton, IL 62002-6723

Fax (618) 465-4167

Mailing address

8080 State St
East St. Louis, IL 62203-1808

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Women's Health Nurse Practitioner 363LW0102XNone listed

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

26 other providers at this address

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About NPI 1356377568

Southern Illinois Healthcare Foundation, Inc's National Provider Identifier is 1356377568, issued on Jun 23, 2006. 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 29, 2009.