Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Swansea, IL

NPI number 1801322730 Active

Practice location

3214 N Illinois St
Swansea, IL 62226-2330

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Clinical Social Worker 1041C0700XNone listed
Family Medicine Physician 207Q00000XNone listed
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 1801322730

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1801322730, issued on May 11, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Swansea, IL. The record was last updated on May 11, 2017.