Organization · Type 2 NPI
Southern Illinois Healthcare Foundation Inc
Federally Qualified Health Center (FQHC) · Waterloo, IL
NPI number
1821813247
Active
Practice location
509 Hamacher St Ste 201
Waterloo, IL 62298-1592
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
About NPI 1821813247
Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1821813247, issued on Nov 20, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Waterloo, IL. The record was last updated on Nov 20, 2024.