Southern Illinois Healthcare Foundation, Inc. in Salem - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1376588848
Southern Illinois Healthcare Foundation, Inc. is a Federally Qualified Health Center (fqhc) in Salem, 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 1376588848. The last update date is 2008-04-20.
Southern Illinois Healthcare Foundation, Inc.'s current location address is 1275 Hawthorn Rd, Salem, Illinois. You can contact this provider via phone number 6185484545 and fax number 6185484577. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 1275 Hawthorn Rd, Salem, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Address | 1275 Hawthorn Rd, Salem, Illinois |
| Phone Number | 6185484545 |
| Fax Number | 6185484577 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF OPER |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320783 |
NPI Number Detail
| NPI Number | 1376588848 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 1275 Hawthorn Rd |
|---|---|
| City | Salem |
| State | Illinois (IL) |
| Post Code | 628811028 |
| Phone Number | 6185484545 |
| Fax Number | 6185484577 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201518 | IL | WPS MEDICARE GROUP NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1376588848 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Southern Illinois Healthcare Foundation, Inc.?
The Southern Illinois Healthcare Foundation, Inc. is physically situated at 1275 Hawthorn Rd, in the city of Salem, state of IL, with the postal code 628811028.
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.
When did the Southern Illinois Healthcare Foundation, Inc. receive its 1376588848?
The Southern Illinois Healthcare Foundation, Inc. was issued its 1376588848 on 2006-06-18, which is the date when the organization was assigned this unique identifier.
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.