SIHF PSR CLUB HOUSE FACILITY – Federally Qualified Health Center (FQHC), NPI 1821277658

SIHF PSR CLUB HOUSE FACILITY is a healthcare provider. based in East saint louis, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for SIHF PSR CLUB HOUSE FACILITY is 1821277658

Main info

Organization
Name
SIHF PSR CLUB HOUSE FACILITY
NPI
1821277658
Phone
(618) 397-3303
Address
8080 STATE ST
Authorized Official
MISS LARRY MCCULLEY COO
Enumeration Date
29 October 2007
Last Update Date
29 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:18State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for SIHF PSR CLUB HOUSE FACILITY

  • 8080, State Street, Edgemont, East Saint Louis, Saint Clair County, Illinois, 62203, United States

    EAST SAINT LOUIS, IL 622031808

    Phone: (618) 397-3303

    Fax: (618) 397-7802

    Type: Mailing

  • 2057, Edison Avenue, Nameoki, Granite City, Madison County, Illinois, 62040, United States

    SUITE A

    GRANITE CITY, IL 620404514

    Phone: (618) 397-3303

    Fax: (618) 397-7802

    Type: Location

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.

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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 62203)

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Reviews

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Frequently asked questions

What is SIHF PSR CLUB HOUSE FACILITY's NPI number?
SIHF PSR CLUB HOUSE FACILITY's NPI is 1821277658 — the number used across U.S. healthcare to identify this provider.
Is SIHF PSR CLUB HOUSE FACILITY still an active registrant?
SIHF PSR CLUB HOUSE FACILITY carries an active NPI according to the public dataset.
What expertise is attributed to SIHF PSR CLUB HOUSE FACILITY?
SIHF PSR CLUB HOUSE FACILITY's specialty line reads Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What locale is associated with SIHF PSR CLUB HOUSE FACILITY?
Directory geography for SIHF PSR CLUB HOUSE FACILITY centers on East Saint Louis, Illinois.
Can I trust this NPI listing for SIHF PSR CLUB HOUSE FACILITY?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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