Organization · Type 2 NPI
Southern Illinois Healthcare Foundation Inc
Federally Qualified Health Center (FQHC) · East Alton, IL
NPI number
1962234070
Active
Practice location
2 Terminal Dr Ste 4B
East Alton, IL 62024-2296
Fax (618) 216-8128
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
Other federally qualified health center (fqhc) providers in East Alton
About NPI 1962234070
Southern Illinois Healthcare Foundation Inc's National Provider Identifier is 1962234070, issued on Aug 16, 2024. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in East Alton, IL. The record was last updated on Aug 16, 2024.