1376589226 SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
- Enumeration Date
- June 21, 2006
- Last Update
- August 16, 2018
- Authorized Official
- MR. LARRY MCCULLEY
PRESIDENT/CEO
Phone: (618) 332-0694
Practice Location
- Address
- 4 MEMORIAL DR STE 210
ALTON, IL 62002 - Phone
- (618) 463-5905
Mailing Address
- Address
- 2041 GOOSE LAKE RD
SAUGET, IL 622062822 - Phone
- (618) 332-0953
- Fax
- (618) 332-2487
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Professional Counselor Professional | 101YP2500X | Counselor | N/A | N/A | No |
| Clinical Social Worker Clinical | 1041C0700X | Social Worker | N/A | N/A | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | N/A | N/A | No |
| Internal Medicine Physician | 207R00000X | Internal Medicine | N/A | N/A | No |
| Obstetrics & Gynecology Physician | 207V00000X | Obstetrics & Gynecology | N/A | N/A | No |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| Psychiatry Physician Psychiatry | 2084P0800X | Psychiatry & Neurology | N/A | N/A | No |
| Physician Assistant | 363A00000X | Physician Assistant | N/A | N/A | No |
| Nurse Practitioner | 363L00000X | Nurse Practitioner | N/A | N/A | No |
| Advanced Practice Midwife | 367A00000X | Advanced Practice Midwife | N/A | N/A | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 732740 | 01 | IL | WPS MEDICARE GROUP NUMBER |
Frequently Asked Questions
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s NPI number?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s NPI number is 1376589226.
Which doctor has NPI number 1376589226?
The doctor with NPI number 1376589226 is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC..
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s practice address?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s practice address is 4 MEMORIAL DR STE 210, ALTON, IL, 62002.
Which doctor practices at 4 MEMORIAL DR STE 210, ALTON, IL, 62002?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practices at 4 MEMORIAL DR STE 210, ALTON, IL, 62002.
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s mailing address?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s mailing address is 2041 GOOSE LAKE RD, SAUGET, IL, 622062822.
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s phone number?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s phone number is (618) 463-5905.
Who is (618) 463-5905?
(618) 463-5905 is the phone number for SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC..
What is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s specialty?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.'s specialty is Federally Qualified Health Center (FQHC).
What type of doctor is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. a Federally Qualified Health Center (FQHC)?
Yes, SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. still practicing?
Yes, SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is currently practicing.
Is SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. accepting new patients?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. may be accepting new patients. Please call their office at (618) 463-5905 to inquire about availability.
Is NPI 1376589226 still active?
Yes, NPI 1376589226 is currently active.
Where does SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. practices in ALTON, IL.