Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Salem, IL

NPI number 1376588848 Active

Practice location

1275 Hawthorn Rd
Salem, IL 62881-1028

Call (618) 548-4545 Map

Fax (618) 548-4577

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Pediatrics Physician 208000000XNone listed
General Practice Physician 208D00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

11 other providers at this address

About NPI 1376588848

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1376588848, issued on Jun 18, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Salem, IL. The record was last updated on Apr 20, 2008.