Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc.
Federally Qualified Health Center (FQHC) · Granite City, IL
NPI number
1750562880
Active
Practice location
2054 Edison Ave
Granite City, IL 62040-4540
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
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About NPI 1750562880
Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1750562880, issued on Nov 16, 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 Nov 16, 2007.