SIHF MAINSTAY HUD 1 FACILITY (SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.) NPI 1023299153

Clinic/Center (Federally Qualified Health Center (FQHC)) in Granite City, IL

NPI 1023299153 Organization Clinic/Center Federally Qualified Health Center (FQHC)

About SIHF MAINSTAY HUD 1 FACILITY (SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.)

Sihf Mainstay Hud 1 Facility (southern Illinois Healthcare Foundation, Inc.) is a primary care provider established in Granite City, Illinois specializing in clinic/center (federally qualified health center (fqhc)) . The NPI number of Sihf Mainstay Hud 1 Facility (southern Illinois Healthcare Foundation, Inc.) is 1023299153 and was assigned on November 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Sihf Mainstay Hud 1 Facility (southern Illinois Healthcare Foundation, Inc.) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sihf Mainstay Hud 1 Facility. The authorized official of this NPI record is Mr. Larry Mcculley (Coo)

A primary care provider (PCP) like Sihf Mainstay Hud 1 Facility sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

NPI

1023299153

Provider NameSIHF MAINSTAY HUD 1 FACILITY (SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.)
Provider Location Address1218 19TH ST GRANITE CITY, IL 62040
Provider Mailing Address8080 STATE ST EAST SAINT LOUIS, IL 62203
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameSIHF MAINSTAY HUD 1 FACILITY
Other Name TypeDoing Business As (3)
Enumeration Date11-16-2007
Last Update Date11-16-2007


Primary Taxonomy

Taxonomy Code261QF0400X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationFederally Qualified Health Center (FQHC)

Business Address

SIHF MAINSTAY HUD 1 FACILITY
1218 19TH ST
GRANITE CITY, IL
ZIP 62040
Phone: (618) 397-3303
Fax: (618) 397-7802

Get Directions


Mailing Address

SIHF MAINSTAY HUD 1 FACILITY
8080 STATE ST
EAST SAINT LOUIS, IL
ZIP 62203
Phone: (618) 397-3303
Fax: (618) 397-7802



Authorized Official

Authorized Official NameMR. LARRY MCCULLEY
Authorized Official TitleCOO
Authorized Official Phone(618) 332-0694

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineNo

Taxonomy Description: family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

22084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryNo

Taxonomy Description: a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386922433CHESTNUT HEALTH SYSTEMS, INC.
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))1218 19TH ST
GRANITE CITY, IL 62040
(618) 452-2768

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.