Southern Illinois Healthcare Foundation, Inc. in East Saint Louis - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1740345156
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 1740345156. The last update date is 2019-06-27.
Southern Illinois Healthcare Foundation, Inc.'s current location address is 1736 Kingshighway, East Saint Louis, Illinois. You can contact this provider via phone number 6188743120. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 1736 Kingshighway, East Saint Louis, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Address | 1736 Kingshighway, East Saint Louis, Illinois |
| Phone Number | 6188743120 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320694 |
NPI Number Detail
| NPI Number | 1740345156 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2019-06-27 |
Provider Mailing Address Detail
| Address | 1736 Kingshighway |
|---|---|
| City | East Saint Louis |
| State | Illinois (IL) |
| Post Code | 62204 |
| Phone Number | 6188743120 |
| Fax Number |
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. |
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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) 1740345156 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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: 1736 Kingshighway, East Saint Louis, IL, 62204.
What is the Southern Illinois Healthcare Foundation, Inc.'s specialty and taxonomy code?
The Southern Illinois Healthcare Foundation, Inc.'s specialty is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1740345156 to Southern Illinois Healthcare Foundation, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1740345156 to Southern Illinois Healthcare Foundation, Inc. on 2006-12-26.
As of what date were the details related to Southern Illinois Healthcare Foundation, Inc. most recently updated or revised?
The information pertaining to Southern Illinois Healthcare Foundation, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2019-06-27.
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