Organization provider

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

Federally Qualified Health Center (FQHC) Professional Counselor Clinical Social Worker Medicare enrolled

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1225556996, based in O Fallon, IL. The organization lists 6 taxonomy classifications, with Federally Qualified Health Center (FQHC) recorded as primary.

Getting there

The practice address on file is 3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

3 SAINT ELIZABETH BLVD STE 4000, O Fallon, IL 62269 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part A Provider - Federally Qualified Health Center (fqhc)
PAC ID
1456256874
Enrollment ID
O20171026001503

Medicare enrolment is recorded as approved under the provider type Part A Provider - Federally Qualified Health Center (fqhc). Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Federally Qualified Health Center (FQHC) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 261QF0400X
Ambulatory Health Care Facilities Clinic/Center Federally Qualified Health Center (FQHC)

All registered taxonomy codes

This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
261QF0400X Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) IL primary
101YP2500X Professional Counselor Professional IL
1041C0700X Clinical Social Worker Clinical IL
207Q00000X Family Medicine Physician IL
207R00000X Internal Medicine Physician IL
207V00000X Obstetrics & Gynecology Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1225556996 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateSep 1, 2017
Last updatedOct 27, 2022
StatusActive
Practice address 3 SAINT ELIZABETH BLVD STE 4000
O Fallon, IL 62269
(618) 233-5480
Mailing address 2041 GOOSE LAKE RD
Sauget, IL 62206
The last update on file is Oct 27, 2022. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1225556996 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 2 5 5 5 6 9 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 4 5 1 5 3 9 9

Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1225556996?
NPI 1225556996 is the National Provider Identifier assigned to SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC in O Fallon, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Federally Qualified Health Center (FQHC) cover?
Definition to come...
How do I contact SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC?
The phone number on file with NPPES is (618) 233-5480, last updated Oct 27, 2022. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1225556996 a valid number?
Yes. 1225556996 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.