SOUTHERN IL REGIONAL WELLNESS CENTER
NPI 1295194009
Clinic/Center - Federally Qualified Health Center (FQHC) in Washington Park, IL

Active since February 22, 2016
1736 KINGSHIGHWAY, WASHINGTON PARK, IL 62204(618) 482-7922(618) 215-4048 Get Directions Write a Review

NPPES record last updated: May 24, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Il Regional Wellness Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN IL REGIONAL WELLNESS CENTER (NPI 1295194009) is a healthcare organization registered as a federally qualified health center (fqhc) in Washington Park, Illinois and active in the NPI registry since February 2016. The organization lists Mark Freeland, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295194009
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN IL REGIONAL WELLNESS CENTER
Location Address1736 KINGSHIGHWAYWashington Park, IL 62204-2135
Mailing Address1736 KingshighwayWashington Park, IL 62204-2135 · (618) 482-7922 · Fax (618) 215-4048
Fax(618) 215-4048
Organization SubpartNo
Authorized OfficialMark FreelandCeo · (618) 482-7922
Enumeration DateFebruary 22, 2016
Last NPPES UpdateMay 24, 2016
NPI 1295194009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1736 KINGSHIGHWAY, Washington Park, IL 62204

Other Identifiers 1

Other1336258540IL · Npi

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1736 KINGSHIGHWAY
EAST SAINT LOUIS, IL 62204
Clinic/Center (Federally Qualified Health Center (FQHC))
1736 KINGSHIGHWAY
EAST SAINT LOUIS, IL 62204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Il Regional Wellness Center's NPI number?

The NPI number for Southern Il Regional Wellness Center is 1295194009. It was assigned to this organization in the NPPES registry on February 22, 2016.

Where is Southern Il Regional Wellness Center located?

Southern Il Regional Wellness Center is located at 1736 Kingshighway, Washington Park, IL 62204. The listed phone number is (618) 482-7922.

What is Southern Il Regional Wellness Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Southern Il Regional Wellness Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Southern Il Regional Wellness Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Il Regional Wellness Center was last updated on May 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.