Southern Illinois Healthcare Foundation, INC
NPI #1326392747 in Granite City, Illinois
Provider Information
- NPI Number
- 1326392747
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 7, 2012
- Last Updated
- Nov 7, 2012
Practice Location
- Address
- 2166 MADISON AVENUE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040
- Phone
- (618) 452-3301
Authorized Official
- Name
- MR. LARRY W MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Social Worker - Clinical — Clinical |
| Dentist |
| Family Medicine |
| Internal Medicine |
| Internal Medicine - Infectious Disease — Infectious Disease |
| Obstetrics & Gynecology |
| Pediatrics |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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