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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER

Active Organization

Federally Qualified Health Center · EAST SAINT LOUIS, IL

Registration Details

NPI Number
1336258540
Provider Type
Organization
NPI Issued
Aug 30, 2006 (19.677393141018 yrs)
Last Updated
Jul 6, 2016

Practice Information

Address
1736 KINGSHIGHWAY
EAST SAINT LOUIS, IL, 622042134
Browse IL providers · Browse ZIP 62204
Phone
6188743120
Fax
6182154048
Primary Specialty
Federally Qualified Health Center
261QF0400X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.