Southern Illinois Healthcare Foundation, Inc. in East Saint Louis - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1114116514
Southern Illinois Healthcare Foundation, Inc. is a Federally Qualified Health Center (fqhc) in East Saint Louis, Illinois. Southern Illinois Healthcare Foundation, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Southern Illinois Healthcare Foundation, Inc. is 1114116514. The last update date is 2008-04-20.
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 | COO |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320694 |
NPI Number Detail
| NPI Number | 1114116514 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2008-04-20 |
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 | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Southern Illinois Healthcare Foundation, Inc. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc. has been issued the NPI (National Provider Identifier) 1114116514, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Southern Illinois Healthcare Foundation, Inc. is located?
The Southern Illinois Healthcare Foundation, Inc. is situated at the following address: 8080 State St, East Saint Louis, IL, 622031808.
What is Southern Illinois Healthcare Foundation, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Southern Illinois Healthcare Foundation, Inc.'s specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Southern Illinois Healthcare Foundation, Inc. receive its 1114116514 assignment from the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc. was assigned its 1114116514 by the Centers for Medicare & Medicaid Services on 2007-10-22.
When was the information related to Southern Illinois Healthcare Foundation, Inc. most recently updated or refreshed?
The details pertaining to the Southern Illinois Healthcare Foundation, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-04-20.