| Southern Illinois Regional Wellness Center | |
|
1736 Kingshighway East Saint Louis IL 62204-2134 | |
| (618) 874-3120 | |
| (618) 215-4048 |
| Full Name | Southern Illinois Regional Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1736 Kingshighway, East Saint Louis, Illinois |
| Authorized Official Name and Position | Mark R Freeland (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6188743120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Regional Wellness Center 1736 Kingshighway East Saint Louis IL 62204-2134 Ph: (618) 874-3120 | Southern Illinois Regional Wellness Center 1736 Kingshighway East Saint Louis IL 62204-2134 Ph: (618) 874-3120 |
| NPI Number | 1336258540 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 07/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336258540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905 | |
Roadside Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609 | |
Southern Illinois Health Care Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jackie Joyner Kersee Cir, East Saint Louis, IL 62204 Phone: 618-332-9484 | |
Southern Illinois Healthcare Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N 6th St, East Saint Louis, IL 62201 Phone: 618-397-3303 Fax: 618-397-3303 |