Southern Illinois Healthcare Foundation INC
NPI #1356114029 in Belleville, Illinois
Provider Information
- NPI Number
- 1356114029
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Nov 3, 2023
- Last Updated
- Nov 3, 2023
Practice Location
- Address
- 180 S 3RD ST STE 100
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1952
- Phone
- (618) 332-0953
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- PRESIDENT/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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