Fairmont City Health Center
LBN: Southern Illinois Healthcare Foundation, Inc.
Fairmont City Health Center is an health care organization with primary practice located at 2568 N 41St St , East Saint Louis IL 62201-2204. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Southern Illinois Healthcare Foundation, Inc. can be contacted via phone (618) 482-4015, or through Mcculley, Larry via phone (618) 332-0783.
Contact Information
Primary practice address
2568 N 41St St
East Saint Louis IL 62201-2204
Phone: (618) 482-4015
Fax: (618) 482-4806
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1770648917 |
---|---|
LBN Legal business name | Southern Illinois Healthcare Foundation, Inc. |
DBA Doing business as | Fairmont City Health Center |
Authorized official | Mcculley, Larry |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 27th, 2006 |
Last updated | Jul 29th, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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