Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Madison, IL

NPI number 1740461870 Active

Practice location

1425 6th St
Madison, IL 62060-1417

Call (618) 397-3303 Map

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
Psychiatry Physician	2084P0800X	None listed
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

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

Another provider at this address

Chestnut Health Systems, IncMental Health Clinic/Center (Including Community Mental Health Center) Madison, IL NPI 1790083095

Other federally qualified health center (fqhc) providers in Madison

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About NPI 1740461870

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1740461870, issued on Nov 16, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Madison, IL. The record was last updated on Nov 16, 2007.