Southern Illinois Healthcare Foundation, INC

NPI #1023371143 in Mattoon, Illinois

Provider Information

NPI Number
1023371143
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 22, 2012
Last Updated
Mar 1, 2024

Practice Location

Address
911 REMINGTON RD STE B
ZIP Code
61938-4210
Phone
(217) 234-3091

Authorized Official

Name
MR. LARRY MCCULLEY
Title
PRESIDENT/CEO
Phone
(618) 332-0694

Specialties & Taxonomy Codes

Specialty
Psychiatry & Neurology - PsychiatryPsychiatry
Physician Assistant
Nurse Practitioner
Counselor - Mental HealthMental Health
Social Worker - ClinicalClinical
Family Medicine
Internal Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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