Organization · Type 2 NPI
Southern Illinois Health Care Foundation, Inc.
Federally Qualified Health Center (FQHC) · Smithton, IL
NPI number
1912853748
Active
Practice location
4017 State Route 159
Smithton, IL 62285-2510
Fax (618) 394-9631
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 |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
About NPI 1912853748
Southern Illinois Health Care Foundation, Inc.'s National Provider Identifier is 1912853748, issued on Mar 5, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Smithton, IL. The record was last updated on Mar 5, 2026.