Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Belleville, IL

NPI number 1699066985 Active

Practice location

2810 Frank Scott Pkwy W
Belleville, IL 62223-5007

Call (618) 236-6336 Map

Fax (618) 236-9582

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1699066985

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1699066985, issued on Apr 21, 2011. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Belleville, IL. The record was last updated on Aug 2, 2011.