Southern Illinois Healthcare Foundation, Inc in Alton - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc - NPI 1356377568
Southern Illinois Healthcare Foundation, Inc is a Federally Qualified Health Center (fqhc) in Alton, 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 1356377568. The last update date is 2009-07-29.
Southern Illinois Healthcare Foundation, Inc's current location address is 2 Memorial Dr, Alton, Illinois. You can contact this provider via phone number 6184652550 and fax number 6184654167. The mailing address for Southern Illinois Healthcare Foundation, Inc is 2 Memorial Dr, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Healthcare Foundation, Inc |
|---|---|
| Address | 2 Memorial Dr, Alton, Illinois |
| Phone Number | 6184652550 |
| Fax Number | 6184654167 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320783 |
NPI Number Detail
| NPI Number | 1356377568 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2009-07-29 |
Provider Mailing Address Detail
| Address | 2 Memorial Dr |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620026723 |
| Phone Number | 6184652550 |
| Fax Number | 6184654167 |
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 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) 1356377568. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southern Illinois Healthcare Foundation, Inc's facilities are situated?
The facilities of Southern Illinois Healthcare Foundation, Inc are physically located at the following address: 2 Memorial Dr, Alton, IL, 620026723.
What is Southern Illinois Healthcare Foundation, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southern Illinois Healthcare Foundation, Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Southern Illinois Healthcare Foundation, Inc receive the assignment of its 1356377568 from the Centers for Medicare & Medicaid Services?
The Southern Illinois Healthcare Foundation, Inc was issued its 1356377568 by the Centers for Medicare & Medicaid Services on 2006-06-23.
As of what date were the Southern Illinois Healthcare Foundation, Inc's details last updated?
The information pertaining to the Southern Illinois Healthcare Foundation, Inc, including its address, specialty, and other details, was most recently updated on 2009-07-29.