Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Sauget, IL
NPI number
1467482968
Active
Practice location
2071 Goose Lake Rd
Sauget, IL 62206-2822
Fax (618) 337-9482
Mailing address
8080 State St
East St. Louis, IL 62203-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
6 other providers at this address
- Best Foot Forward CorpDurable Medical Equipment & Medical Supplies Sauget, IL NPI 1275212458
- R&r 1 LLCAdult Reconstructive Orthopaedic Surgery Physician Sauget, IL NPI 1962815340
- Southern Illinois Healthcare Foundation, Inc.Federally Qualified Health Center (FQHC) Sauget, IL NPI 1083162432
- Michael Riley Jr., PTPhysical Therapist Sauget, IL NPI 1972727022
- Samantha Fisher, PA-CPhysician Assistant Sauget, IL NPI 1386272060
- Starr'retiece R. Gibson, LICENSED DIETITIANRegistered Dietitian Sauget, IL NPI 1033934641
Other federally qualified health center (fqhc) providers in Sauget
About NPI 1467482968
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1467482968, issued on Jul 3, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sauget, IL. The record was last updated on Oct 30, 2008.