1275561797 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
- Enumeration Date
- June 30, 2006
- Last Update
- November 3, 2011
- Authorized Official
- MR. LARRY MCCULLEY
CHIEF EXECUTIVE OFFICER
Phone: (618) 332-0694
Practice Location
- Address
- 7210 W MAIN ST
BELLEVILLE, IL 622233038 - Phone
- (618) 394-0712
- Fax
- (618) 394-1346
Mailing Address
- Address
- 8080 STATE ST
EAST SAINT LOUIS, IL 622031808 - Phone
- (618) 397-3303
- Fax
- (618) 397-7802
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Family 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 |
| Dentist | 122300000X | Dentist | 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 HEALTHCARE FOUNDATION, INC's NPI number?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's NPI number is 1275561797.
Which doctor has NPI number 1275561797?
The doctor with NPI number 1275561797 is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's practice address?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's practice address is 7210 W MAIN ST, BELLEVILLE, IL, 622233038.
Which doctor practices at 7210 W MAIN ST, BELLEVILLE, IL, 622233038?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practices at 7210 W MAIN ST, BELLEVILLE, IL, 622233038.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's mailing address?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's mailing address is 8080 STATE ST, EAST SAINT LOUIS, IL, 622031808.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's phone number?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's phone number is (618) 394-0712.
Who is (618) 394-0712?
(618) 394-0712 is the phone number for SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's specialty?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC a Federally Qualified Health Center (FQHC)?
Yes, SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC is a Federally Qualified Health Center (FQHC).
Is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC still practicing?
Yes, SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC is currently practicing.
Is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC accepting new patients?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC may be accepting new patients. Please call their office at (618) 394-0712 to inquire about availability.
Is NPI 1275561797 still active?
Yes, NPI 1275561797 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practices in BELLEVILLE, IL.