Organization · Type 2 NPI

Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) · Centreville, IL

NPI number 1902963028 Active

Practice location

6000 Bond Ave
Centreville, IL 62207-2328

Call (618) 332-2740 Map

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
Internal Medicine Physician 207R00000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed
Physician Assistant 363A00000XNone listed
Family Nurse Practitioner 363LF0000XNone listed

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

19 other providers at this address

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About NPI 1902963028

Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier is 1902963028, issued on Jan 2, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Centreville, IL. The record was last updated on Aug 30, 2021.