Southern Illinois Healthcare Foundation, Inc. in Sauget - Federally Qualified Health Center (fqhc)
Southern Illinois Healthcare Foundation, Inc. - NPI 1376588871
Southern Illinois Healthcare Foundation, Inc. is a Federally Qualified Health Center (fqhc) in Sauget, 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 1376588871. The last update date is 2014-08-08.
Southern Illinois Healthcare Foundation, Inc.'s current location address is 2041 Goose Lake Rd, Sauget, Illinois. You can contact this provider via phone number 6183320953 and fax number 6183322487. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 2041 Goose Lake Rd, Sauget, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Address | 2041 Goose Lake Rd, Sauget, Illinois |
| Phone Number | 6183320953 |
| Fax Number | 6183322487 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Mcculley Larry |
| Telephone Number | 6183320694 |
NPI Number Detail
| NPI Number | 1376588871 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2014-08-08 |
Provider Mailing Address Detail
| Address | 2041 Goose Lake Rd |
|---|---|
| City | Sauget |
| State | Illinois (IL) |
| Post Code | 622062822 |
| Phone Number | 6183320953 |
| Fax Number | 6183322487 |
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 |
|---|---|---|---|
| 732740 | IL | WPS MEDICARE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Southern Illinois Healthcare Foundation, Inc.?
The Southern Illinois Healthcare Foundation, Inc. has been issued the NPI (National Provider Identifier) 1376588871 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
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: 2041 Goose Lake Rd, Sauget, IL, 622062822.
What is Southern Illinois Healthcare Foundation, Inc.'s area of expertise and its corresponding taxonomy classification?
The Southern Illinois Healthcare Foundation, Inc.'s field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1376588871 to Southern Illinois Healthcare Foundation, Inc.?
The Southern Illinois Healthcare Foundation, Inc. received its 1376588871 assignment from the Centers for Medicare & Medicaid Services on 2006-06-18.
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 2014-08-08.