Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · East Alton, IL

NPI number 1487719860 Active

Practice location

2 Terminal Dr, Suite 8
East Alton, IL 62024-2268

Fax (618) 258-0489

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
Obstetrics & Gynecology Physician 207V00000XNone listed
Orthopaedic Surgery Physician 207X00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Nurse Practitioner 363L00000XNone listed

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

15 other providers at this address

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About NPI 1487719860

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1487719860, issued on Dec 26, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East Alton, IL. The record was last updated on Apr 20, 2008.