Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Granite City, IL

NPI number 1619150174 Active

Practice location

1820 Delmar Ave
Granite City, IL 62040-4507

Call (618) 877-4489 Map

Fax (618) 877-4487

Mailing address

8080 State St
East St. Louis, IL 62203-1808

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

2 other providers at this address

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About NPI 1619150174

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1619150174, issued on Dec 7, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Granite City, IL. The record was last updated on Apr 12, 2011.