1376588848 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
- Enumeration Date
- June 18, 2006
- Last Update
- April 20, 2008
- Authorized Official
- MR. LARRY MCCULLEY
CHIEF OPERATING OFFICER
Phone: (618) 332-0783
Practice Location
- Address
- 1275 HAWTHORN RD
SALEM, IL 628811028 - Phone
- (618) 548-4545
- Fax
- (618) 548-4577
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 |
|---|---|---|---|---|---|
| Dentist | 122300000X | Dentist | 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 |
| Pediatrics Physician | 208000000X | Pediatrics | N/A | N/A | No |
| General Practice Physician | 208D00000X | General Practice | 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 |
|---|---|---|---|
| 201518 | 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 1376588848.
Which doctor has NPI number 1376588848?
The doctor with NPI number 1376588848 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 1275 HAWTHORN RD, SALEM, IL, 628811028.
Which doctor practices at 1275 HAWTHORN RD, SALEM, IL, 628811028?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices at 1275 HAWTHORN RD, SALEM, IL, 628811028.
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) 548-4545.
Who is (618) 548-4545?
(618) 548-4545 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) 548-4545 to inquire about availability.
Is NPI 1376588848 still active?
Yes, NPI 1376588848 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices in SALEM, IL.