1902963028 SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Enumeration Date
January 2, 2007
Last Update
August 30, 2021
Authorized Official
MR. LARRY MCCULLEY
CHIEF EXECUTIVE OFFICER
Phone: (618) 332-0694

Practice Location

Address
6000 BOND AVE
CENTREVILLE, IL 622072328
Phone
(618) 332-2740

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
Professional Counselor
Professional
101YP2500X Counselor N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker 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
Obstetrics & Gynecology Physician
207V00000X Obstetrics & Gynecology 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
Physician Assistant
363A00000X Physician Assistant N/A N/A No
Family Nurse Practitioner
Family
363LF0000X 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

Frequently Asked Questions

What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s NPI number?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s NPI number is 1902963028.
Which doctor has NPI number 1902963028?
The doctor with NPI number 1902963028 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 6000 BOND AVE, CENTREVILLE, IL, 622072328.
Which doctor practices at 6000 BOND AVE, CENTREVILLE, IL, 622072328?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices at 6000 BOND AVE, CENTREVILLE, IL, 622072328.
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) 332-2740.
Who is (618) 332-2740?
(618) 332-2740 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) 332-2740 to inquire about availability.
Is NPI 1902963028 still active?
Yes, NPI 1902963028 is currently active.
Where does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practice?
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. practices in CENTREVILLE, IL.