Southern Illinois Healthcare Foundation, Inc.

NPI #1346402062 in Alton, Illinois

Provider Information

NPI Number: 1346402062
Entity Type: Organization
Organization Name: Southern Illinois Healthcare Foundation, Inc.
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jun 25, 2008
Last Updated: Jul 22, 2009

Practice Location

Address: 815 E 5TH ST
City: Alton
State: Illinois
ZIP Code: 62002-6471
Phone: (618) 397-3303

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

Similar Providers

Provider Name	Specialty	City
Southern Illinois Healthcare Foundation INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Alton	AI Deep Dive
Southern Illinois Healthcare Foundation, Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Alton	AI Deep Dive
Southern Illinois Healthcare Foundation, INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Alton	AI Deep Dive
Southern Illinois Health Care Foundation, Inc.	Clinic/Center - Federally Qualified Health Center (FQHC)	Alton	AI Deep Dive
Southern Illinois Healthcare Foundation INC	Clinic/Center - Federally Qualified Health Center (FQHC)	Alton	AI Deep Dive

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