Organization · Type 2 NPI

Southern Illinois Health Care Foundation, Inc.

Federally Qualified Health Center (FQHC) · Alton, IL

NPI number 1376589226 Active

Practice location

4 Memorial Dr Ste 210
Alton, IL 62002

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner 363L00000XNone listed
Advanced Practice Midwife 367A00000XNone listed

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

17 other providers at this address

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About NPI 1376589226

Southern Illinois Health Care Foundation, Inc.'s National Provider Identifier is 1376589226, issued on Jun 21, 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 Aug 16, 2018.