SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER – Federally Qualified Health Center (FQHC), NPI 1336258540

SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER is a healthcare provider. based in East saint louis, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER is 1336258540

Main info

Organization
Name
SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER
NPI
1336258540
Phone
(618) 874-3120
Address
1736 KINGSHIGHWAY
Authorized Official
MR. MARK R FREELAND EXECUTIVE DIRECTOR
Enumeration Date
30 August 2006
Last Update Date
6 July 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER

  • North Kingshighway, East St. Louis, Saint Clair County, Illinois, 62203, United States

    EAST SAINT LOUIS, IL 622042134

    Phone: (618) 874-3120

    Fax: (618) 215-4048

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62204)

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Reviews

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Frequently asked questions

Can I use this page to confirm SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER's NPI?
Yes. SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER is listed with NPI 1336258540 in the public NPI dataset.
Is SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER listed as active for patients and plans?
The listing shows SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER as active in the NPI system.
What is SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER's primary classification?
Federally Qualified Health Center (FQHC) is the headline specialty for SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER here. Clinical services aligned with this taxonomy classification.
Where is SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER based?
SOUTHERN ILLINOIS REGIONAL WELLNESS CENTER is tied to East Saint Louis, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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