Southern Illinois Regional Wellness Center
NPI 1336258540 · Federally Qualified Health Center (FQHC) · East Saint Louis, IL
Southern Illinois Regional Wellness Center is a Federally Qualified Health Center (FQHC) organization in East Saint Louis, IL (NPI 1336258540).
Provider details
- NPI number
- 1336258540
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mark Freeland, Executive Director(618) 874-3120
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2016-07-06
Frequently asked questions
- What is Southern Illinois Regional Wellness Center's NPI number?
- Southern Illinois Regional Wellness Center's National Provider Identifier (NPI) is 1336258540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Regional Wellness Center?
- Southern Illinois Regional Wellness Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southern Illinois Regional Wellness Center located?
- Southern Illinois Regional Wellness Center's practice location on file with NPPES is 1736 Kingshighway, East Saint Louis, IL 62204-2134.
- What is Southern Illinois Regional Wellness Center's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Regional Wellness Center is (618) 874-3120.
- Who is the authorized official for Southern Illinois Regional Wellness Center?
- The authorized official listed on Southern Illinois Regional Wellness Center's NPPES record is Mark Freeland, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Regional Wellness Center's NPI active?
- Yes — Southern Illinois Regional Wellness Center's NPI (1336258540) is active in the NPPES registry as of the last update on 2016-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.