SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI 1023371143

NPI Information

NPI: 1023371143
Provider Name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

Other Name: SIHF HEALTHCARE - MATTOON

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
911 REMINGTON RD STE B
MATTOON, IL
ZIP 61938
Phone: (217) 234-3091
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SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC is a federally qualified health center (fqhc) clinic center in Mattoon, IL. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC NPI is 1023371143. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sihf Healthcare - Mattoon.

The provider's business location address is:

911 REMINGTON RD STE B
MATTOON, IL
ZIP 61938-210
Phone: (217) 234-3091
Fax: (217) 234-3094

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

The enumeration date for this NPI number is 6/22/2012 and was last updated on 3/1/2024.

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	2084P0800X	Psychiatry & Neurology	Psychiatry	No
2	363A00000X	Physician Assistant		No
3	363L00000X	Nurse Practitioner		No
4	101YM0800X	Counselor	Mental Health	No
5	1041C0700X	Social Worker	Clinical	No
6	207Q00000X	Family Medicine		No
7	207R00000X	Internal Medicine		No
8	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: 5/5/2024

NPI Synchronization or Removal

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