Southern Illinois Healthcare Foundation, Inc. in East Saint Louis - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1568643260
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 1568643260. 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 | 1568643260 |
|---|---|
| Provider Enumeration Date | 2007-11-21 |
| 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) 1568643260, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
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 8080 State St, in the city of East Saint Louis, state of IL, with the postal code 622031808.
What is Southern Illinois Healthcare Foundation, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southern Illinois Healthcare Foundation, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
When did the Southern Illinois Healthcare Foundation, Inc. receive its 1568643260?
The Southern Illinois Healthcare Foundation, Inc. was issued its 1568643260 on 2007-11-21, 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 2008-04-20.