Organization · Type 2 NPI
Southern Illinois Health Care Foundation, Inc.
Federally Qualified Health Center (FQHC) · Alorton, IL
NPI number
1487543591
Active
Practice location
432 Vivian Way
Alorton, IL 62207
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
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 |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1487543591
Southern Illinois Health Care Foundation, Inc.'s National Provider Identifier is 1487543591, issued on Jul 2, 2025. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Alorton, IL. The record was last updated on Jul 2, 2025.