SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER
NPI 1336258540
Clinic/Center - Federally Qualified Health Center (FQHC) in East Saint Louis, IL

Q: What is Southern Illinois 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.

Active since August 30, 2006

1736 KINGSHIGHWAY, EAST SAINT LOUIS, IL 62204(618) 874-3120(618) 215-4048 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Southern Illinois Regional Wellness Center NPPES

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

SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER (NPI 1336258540) is a healthcare organization registered as a federally qualified health center (fqhc) in East Saint Louis, Illinois and active in the NPI registry since August 2006. The organization lists Mark R Freeland, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1336258540

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS REGIONAL WELLNESS CENTER

Location Address1736 KINGSHIGHWAYEast Saint Louis, IL 62204-2134

Mailing Address1736 KingshighwayEast Saint Louis, IL 62204-2134 · (618) 874-3120 · Fax (618) 215-4048

Phone(618) 874-3120

Fax(618) 215-4048

Organization SubpartNo

Authorized OfficialMark R FreelandExecutive Director · (618) 874-3120

Enumeration DateAugust 30, 2006

Last NPPES UpdateJuly 6, 2016

✔ NPI 1336258540 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, East Saint Louis, IL 62204

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Other Identifiers 3

Medicare OSCAR/certification141923IL

Medicare PIN992400IL

Medicare OSCAR/certification141956IL

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.

SOUTHERN IL REGIONAL WELLNESS CENTER

Clinic/Center (Federally Qualified Health Center (FQHC))

1736 KINGSHIGHWAY
WASHINGTON PARK, IL 62204

St. Clair County (618) 482-7922

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

1736 KINGSHIGHWAY
EAST SAINT LOUIS, IL 62204

St. Clair County (618) 874-3120

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 Illinois Regional Wellness Center's NPI number?

The NPI number for Southern Illinois Regional Wellness Center is 1336258540. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Southern Illinois Regional Wellness Center located?

Southern Illinois Regional Wellness Center is located at 1736 Kingshighway, East Saint Louis, IL 62204. The listed phone number is (618) 874-3120.

What is Southern Illinois 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.

When was this NPI record last updated?

The NPPES record for Southern Illinois Regional Wellness Center was last updated on July 6, 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.