Southern Illinois Healthcare Foundation, Inc. in East Saint Louis - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1255514717
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 1255514717. 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 | 1255514717 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| 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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What is the unique 10-digit identifier code issued to Southern Illinois Healthcare Foundation, Inc. by the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc. has been assigned the NPI (National Provider Identifier) 1255514717 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Southern Illinois Healthcare Foundation, Inc. located?
The Southern Illinois Healthcare Foundation, Inc. is located at 8080 State St, East Saint Louis, IL 622031808.
What is Southern Illinois Healthcare Foundation, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Southern Illinois Healthcare Foundation, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
On what date did the Southern Illinois Healthcare Foundation, Inc. receive the assignment of its 1255514717 from the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc. was issued its 1255514717 by the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the information regarding Southern Illinois Healthcare Foundation, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Southern Illinois Healthcare Foundation, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-20.