Southern Illinois Healthcare Foundation, Inc in East Saint Louis - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc - NPI 1831125038
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 1831125038. The last update date is 2009-07-29.
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 |
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Address | 8080 State St, East Saint Louis, Illinois |
Phone Number | 6183973303 |
Fax Number | 6183977802 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Mcculley Larry |
Telephone Number | 6183320783 |
NPI Number Detail
NPI Number | 1831125038 |
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Provider Enumeration Date | 2006-06-23 |
Last Updated Date | 2009-07-29 |
Provider Mailing Address Detail
Address | 8080 State St |
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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) |
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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 |
---|---|---|---|
732740 | IL | WPS MEDICARE |
Post Comment/ Review Below
What is the Southern Illinois Healthcare Foundation, Inc's unique identification number?
The Southern Illinois Healthcare Foundation, Inc has been assigned the NPI (National Provider Identifier) Number 1831125038 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Southern Illinois Healthcare Foundation, Inc's facilities are geographically located?
The facilities of Southern Illinois Healthcare Foundation, Inc are physically situated at the following location: 8080 State St, East Saint Louis, IL, 622031808.
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.
When did the Southern Illinois Healthcare Foundation, Inc receive its 1831125038?
The Southern Illinois Healthcare Foundation, Inc was issued its 1831125038 on 2006-06-23, 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 2009-07-29.
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