Southern Illinois Healthcare Foundation Inc | |
401 Chaffer Ave Roxana IL 62084-1125 | |
(332) 332-0953 | |
Not Available |
Full Name | Southern Illinois Healthcare Foundation Inc |
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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 |
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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 |
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Provider Enumeration Date | 11/04/2024 |
Last Update Date | 11/04/2024 |
Identifier | Type | State | Issuer |
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1750104162 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |