Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

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

NPI number 1821277658 Active

Practice location

2057 Edison Ave, Suite A
Granite City, IL 62040-4514

Call (618) 397-3303 Map

Fax (618) 397-7802

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Psychiatry Physician 2084P0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

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About NPI 1821277658

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1821277658, issued on Oct 29, 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 Oct 29, 2007.