| Southern Illinois Healthcare Foundation Inc | |
|
401 Chaffer Ave Roxana IL 62084-1125 | |
| (332) 332-0953 | |
| Not Available |
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 401 Chaffer Ave, Roxana, Illinois |
| Authorized Official Name and Position | James F Spinner (SR. DIRECTOR OF COMPLIANCE) |
| Authorized Official Contact | 6183320953 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Healthcare Foundation Inc 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Southern Illinois Healthcare Foundation Inc 401 Chaffer Ave Roxana IL 62084-1125 Ph: (332) 332-0953 |
| NPI Number | 1750104162 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750104162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |