Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · East St. Louis, IL

NPI number 1740345156 Active

Practice location

1736 Kingshighway
East St. Louis, IL 62204

Call (618) 874-3120 Map

Mailing address

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

Other practice locations

5540 Bunkum Rd, Washington Park, IL 62204-2928 · (618) 875-4701

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
Clinical Social Worker	1041C0700X	None listed
Family Medicine Physician	207Q00000X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed
Family Nurse Practitioner	363LF0000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

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

2 other providers at this address

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About NPI 1740345156

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1740345156, issued on Dec 26, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East St. Louis, IL. The record was last updated on Jun 27, 2019.