SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI 1952042814

NPI Information

NPI: 1952042814
Provider Name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
202 E FAIRCHILD ST
DANVILLE, IL
ZIP 61832
Phone: (618) 332-0953
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SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC is a federally qualified health center (fqhc) clinic center in Danville, IL. SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC NPI is 1952042814. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

202 E FAIRCHILD ST
DANVILLE, IL
ZIP 61832-114
Phone: (618) 332-0953

The provider's authorized official is James F Spinner .
The authorized official title is Sr. Director Health Ctr. Compliance and has the following contact phone number (618) 332-0953.

The enumeration date for this NPI number is 4/5/2022 and was last updated on 4/5/2022.

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	101YP2500X	Counselor	Professional	No
2	1041C0700X	Social Worker	Clinical	No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	208000000X	Pediatrics		No
6	363A00000X	Physician Assistant		No
7	363L00000X	Nurse Practitioner		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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