Organization · Type 2 NPI
Southern Illinois Healthcare Foundation Inc
Federally Qualified Health Center (FQHC) · Collinsville, IL
NPI number
1790455103
Active
Practice location
9649 Collinsville Rd
Collinsville, IL 62234-1876
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | None listed |
| Clinical Social Worker | 1041C0700X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Obstetrics & Gynecology Physician | 207V00000X | None listed |
| Pediatrics Physician | 208000000X | None listed |
| Psychiatry Physician | 2084P0800X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in Collinsville
About NPI 1790455103
Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1790455103, issued on Sep 16, 2021. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Collinsville, IL. The record was last updated on Sep 16, 2021.