Organization · Type 2 NPI

Southern Illinois Health Care Foundation, Inc.

Federally Qualified Health Center (FQHC) · East St. Louis, IL

NPI number 1942510508 Active

Practice location

505 S 8th St
East St. Louis, IL 62201

Call (618) 332-0953 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
Psychiatry Physician 2084P0800XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

15 other providers at this address

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About NPI 1942510508

Southern Illinois Health Care Foundation, Inc.'s National Provider Identifier is 1942510508, issued on Oct 18, 2010. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East St. Louis, IL. The record was last updated on Aug 16, 2018.