Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc

Federally Qualified Health Center (FQHC) · Granite City, IL

NPI number 1801822010 Active

Practice location

2100 Madison Ave
Granite City, IL 62040-4701

Call (618) 452-3301 Map

Fax (618) 452-3312

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

77 other providers at this address

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About NPI 1801822010

Southern Illinois Healthcare Foundation, Inc's National Provider Identifier is 1801822010, issued on Jun 23, 2006. 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 Apr 20, 2008.