1831125038 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC
Enumeration Date
June 23, 2006
Last Update
July 29, 2009
Authorized Official
MR. LARRY MCCULLEY
PRESIDENT
Phone: (618) 332-0783

Practice Location

Address
100 N 8TH ST
EAST ST LOUIS, IL 622012989
Phone
(618) 274-9105
Fax
(618) 274-9101

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
Pediatrics Physician
208000000X Pediatrics N/A N/A No
Psychiatry Physician
Psychiatry
2084P0800X Psychiatry & Neurology N/A N/A No
General Practice Physician
208D00000X General Practice N/A N/A No
Women's Health Nurse Practitioner
Women's Health
363LW0102X Nurse Practitioner 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 1831125038.
Which doctor has NPI number 1831125038?
The doctor with NPI number 1831125038 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 100 N 8TH ST, EAST ST LOUIS, IL, 622012989.
Which doctor practices at 100 N 8TH ST, EAST ST LOUIS, IL, 622012989?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practices at 100 N 8TH ST, EAST ST LOUIS, IL, 622012989.
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) 274-9105.
Who is (618) 274-9105?
(618) 274-9105 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) 274-9105 to inquire about availability.
Is NPI 1831125038 still active?
Yes, NPI 1831125038 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC practices in EAST ST LOUIS, IL.