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Southern Illinois Healthcare Foundation Inc

Organization Active NPI Federally Qualified Health Center (FQHC) · Roxana, IL

NPI 1750104162 · NPPES record last updated Nov 4, 2024

Key facts

NPI
1750104162
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
Legal business name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Practice address
401 Chaffer Ave
Roxana, IL 62084-1125
Phone
(332) 332-0953
NPI assigned
Nov 4, 2024
Organization subpart
No

Authorized official

Name
James F Spinner
Title
Sr. Director of Compliance
Phone
(618) 332-0953

Corporate family (same tax ID) 37

Organizations that report the same tax identification number in the National Provider Directory.

View all 37

National Provider Directory

Tax ID family
Southern Illinois Hthca (38 organizations share this tax ID)

Locations

401 Chaffer Ave
Roxana, IL 62084
Phone (618) 254-7544

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Federally Qualified Health Center (FQHC) 261QF0400X Yes

Addresses

Primary practice location

401 Chaffer Ave
Roxana, IL 62084-1125

Mailing address

2041 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 332-0953

Other names

  • SIHF Healthcare Doing business as

Other providers in Roxana, IL

All providers in Roxana, IL · Federally Qualified Health Center (FQHC) in Illinois

Sources for this page

Verify at the official NPI Registry.