Southern Illinois Regional Wellness Center

LBN: Southern Illinois Regional Wellness Center
Southern Illinois Regional Wellness Center is an health care organization with primary practice located at 1736 Kingshighway , East Saint Louis IL 62204-2134. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Southern Illinois Regional Wellness Center can be contacted via phone (618) 874-3120, or through Freeland, Mark R via phone (618) 874-3120.

Contact Information

Primary practice address
1736 Kingshighway East Saint Louis IL 62204-2134
Phone: (618) 874-3120
Fax: (618) 215-4048
Website:
Map and Directions
Authorized official contact:
Name: Freeland, Mark R
Phone: (618) 874-3120

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1336258540
LBN Legal business name Southern Illinois Regional Wellness Center
DBA Doing business as
Authorized official Freeland, Mark R
Entity Organization
Organization subpart 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 6th, 2016 - about 8 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.

Request for update

Popular Providers