1467482968 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Enumeration Date
July 3, 2006
Last Update
October 30, 2008
Authorized Official
MR. LARRY MCCULLEY
CHIEF OPERATING OFFICER
Phone: (618) 332-0783

Practice Location

Address
2071 GOOSE LAKE RD
SAUGET, IL 622062822
Phone
(618) 332-5369
Fax
(618) 337-9482

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
Internal Medicine Physician
207R00000X Internal Medicine 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 1467482968.
Which doctor has NPI number 1467482968?
The doctor with NPI number 1467482968 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 2071 GOOSE LAKE RD, SAUGET, IL, 622062822.
Which doctor practices at 2071 GOOSE LAKE RD, SAUGET, IL, 622062822?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices at 2071 GOOSE LAKE RD, SAUGET, IL, 622062822.
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) 332-5369.
Who is (618) 332-5369?
(618) 332-5369 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) 332-5369 to inquire about availability.
Is NPI 1467482968 still active?
Yes, NPI 1467482968 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices in SAUGET, IL.