Southern Illinois Healthcare Foundation, Inc.

NPI #1235430323 in Alton, Illinois

Provider Information

NPI Number
1235430323
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 5, 2010
Last Updated
Aug 2, 2011

Practice Location

Address
2615 EDWARDS ST
City
Alton
ZIP Code
62002-3915
Phone
(618) 462-4342

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Family Medicine
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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