Southern Illinois Healthcare Foundation, Inc in East Saint Louis - Family Medicine

Southern Illinois Healthcare Foundation, Inc - NPI 1831125038

Southern Illinois Healthcare Foundation, Inc is a Family Medicine in East Saint Louis, Illinois. Southern Illinois Healthcare Foundation, Inc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Southern Illinois Healthcare Foundation, Inc is 1831125038. The last update date is 2009-07-29.

Southern Illinois Healthcare Foundation, Inc's current location address is 8080 State St, East Saint Louis, Illinois. You can contact this provider via phone number 6183973303 and fax number 6183977802. The mailing address for Southern Illinois Healthcare Foundation, Inc is 8080 State St, East Saint Louis, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Illinois Healthcare Foundation, Inc
Address 8080 State St, East Saint Louis, Illinois
Phone Number 6183973303
Fax Number 6183977802
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Mcculley Larry
Telephone Number 6183320783

NPI Number Detail

NPI Number 1831125038
Provider Enumeration Date 2006-06-23
Last Updated Date 2009-07-29

Provider Mailing Address Detail

Address 8080 State St
City East Saint Louis
State Illinois (IL)
Post Code 622031808
Phone Number 6183973303
Fax Number 6183977802

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
732740 IL WPS MEDICARE

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FAQs about Southern Illinois Healthcare Foundation, Inc

What is the Southern Illinois Healthcare Foundation, Inc's unique identification number?

The Southern Illinois Healthcare Foundation, Inc has been assigned the NPI (National Provider Identifier) Number 1831125038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Southern Illinois Healthcare Foundation, Inc's facilities are geographically located?

The facilities of Southern Illinois Healthcare Foundation, Inc are physically situated at the following location: 8080 State St, East Saint Louis, IL, 622031808.

What is the Southern Illinois Healthcare Foundation, Inc's specialty and taxonomy code?

The Southern Illinois Healthcare Foundation, Inc's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.

When did the Southern Illinois Healthcare Foundation, Inc receive its 1831125038?

The Southern Illinois Healthcare Foundation, Inc was issued its 1831125038 on 2006-06-23, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Southern Illinois Healthcare Foundation, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Southern Illinois Healthcare Foundation, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-07-29.

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