SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI 1497033948

NPI Information

NPI: 1497033948
Provider Name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

Doing Business As: SIHF HEALTHCARE

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
6000 BOND AVE
CENTREVILLE, IL
ZIP 62207
Phone: (618) 332-2740
Get Directions

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC is a federally qualified health center (fqhc) clinic center in Centreville, IL. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI is 1497033948. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sihf Healthcare.

The provider's business location address is:

6000 BOND AVE
CENTREVILLE, IL
ZIP 62207-328
Phone: (618) 332-2740

The provider's authorized official is Larry Mcculley .
The authorized official title is Ceo and has the following contact phone number (618) 332-0694.

The CLIA number assigned to this NPI record is 14D2269046 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/2/2011 and was last updated on 8/31/2021.

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	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207V00000X	Obstetrics & Gynecology		No
4	101YP2500X	Counselor	Professional	No
5	1041C0700X	Social Worker	Clinical	No
6	363L00000X	Nurse Practitioner		No
7	208000000X	Pediatrics		No
8	2084P0800X	Psychiatry & Neurology	Psychiatry	No
9	363A00000X	Physician Assistant		No
10	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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: 4/28/2024

NPI Synchronization or Removal

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