1376588871 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
August 8, 2014
Authorized Official
MR. LARRY MCCULLEY
CEO
Phone: (618) 332-0694

Practice Location

Address
2900 FRANK SCOTT PKWY W
SUITE 950
BELLEVILLE, IL 622235000
Phone
(618) 233-3205
Fax
(618) 233-1407

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
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Professional Counselor
Professional
101YP2500X Counselor N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker 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

Frequently Asked Questions

What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s NPI number?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s NPI number is 1376588871.
Which doctor has NPI number 1376588871?
The doctor with NPI number 1376588871 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 2900 FRANK SCOTT PKWY W, SUITE 950, BELLEVILLE, IL, 622235000.
Which doctor practices at 2900 FRANK SCOTT PKWY W, SUITE 950, BELLEVILLE, IL, 622235000?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices at 2900 FRANK SCOTT PKWY W, SUITE 950, BELLEVILLE, IL, 622235000.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s mailing address?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s mailing address is 2041 GOOSE LAKE RD, SAUGET, IL, 622062822.
What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s phone number?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s phone number is (618) 233-3205.
Who is (618) 233-3205?
(618) 233-3205 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) 233-3205 to inquire about availability.
Is NPI 1376588871 still active?
Yes, NPI 1376588871 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices in BELLEVILLE, IL.