Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Bunker Hill, IL
NPI number
1659506939
Active
Practice location
144 N Washington St
Bunker Hill, IL 62014-1316
Fax (618) 397-7802
Mailing address
8080 State St
East St. Louis, IL 62203-1808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1659506939
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1659506939, issued on May 15, 2009. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Bunker Hill, IL. The record was last updated on Apr 12, 2011.