Organization · Type 2 NPI

Southern Illinois Healthcare Foundation Inc

Federally Qualified Health Center (FQHC) · Centreville, IL

NPI number 1609813500 Active

Practice location

6000 Bond Ave
Centreville, IL 62207-2328

Call (618) 332-2740 Map

Fax (618) 332-8755

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Pediatric Cardiology Physician 2080P0202XNone listed
Pediatric Hematology & Oncology Physician 2080P0207XNone listed
Pediatric Pulmonology Physician 2080P0214XNone listed
Neurology with Special Qualifications in Child Neurology Physician 2084N0402XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

19 other providers at this address

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About NPI 1609813500

Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1609813500, issued on May 31, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Centreville, IL. The record was last updated on May 26, 2016.