SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI 1356377568

NPI Information

NPI: 1356377568
Provider Name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

Doing Business As: ALTON WOMEN'S HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2 MEMORIAL DR
SUITE 122
ALTON, IL
ZIP 62002
Phone: (618) 465-2550
Get Directions

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC is a federally qualified health center (fqhc) clinic center in Alton, IL. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC NPI is 1356377568. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Alton Women's Health Center.

The provider's business location address is:

2 MEMORIAL DR
SUITE 122
ALTON, IL
ZIP 62002-723
Phone: (618) 465-2550
Fax: (618) 465-4167

The provider's authorized official is Larry Mcculley .
The authorized official title is President and has the following contact phone number (618) 332-0783.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 7/29/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	No
2	207V00000X	Obstetrics & Gynecology		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	732740	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	WPS MEDICARE
2	=========027	MEDICAID	ILLINOIS
3	141968	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	UGS MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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