Organization · Type 2 NPI
Southern Illinois Healthcare Foundation, Inc
Federally Qualified Health Center (FQHC) · Millstadt, IL
NPI number
1811236458
Active
Practice location
60 Regency Pl
Millstadt, IL 62260-2210
Fax (618) 476-1890
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Family Health Associates SCFamily Medicine Physician Millstadt, IL NPI 1932421047
- Laboratory Corporation of AmericaClinical Medical Laboratory Millstadt, IL NPI 1992882666
- Alana C. Thompson-Byrd, MDFamily Medicine Physician Millstadt, IL NPI 1326056540
- Erin Lane Friedman, DOInternal Medicine Physician Millstadt, IL NPI 1356557698
- Mary Hollenkamp, APNFamily Nurse Practitioner Millstadt, IL NPI 1649241951
About NPI 1811236458
Southern Illinois Healthcare Foundation, Inc's National Provider Identifier is 1811236458, issued on Feb 1, 2013. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Millstadt, IL. The record was last updated on Feb 1, 2013.