Southern Illinois Healthcare Foundation, INC

NPI #1356377568 in Alton, Illinois

Provider Information

NPI Number
1356377568
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 23, 2006
Last Updated
Jul 29, 2009

Practice Location

Address
2 MEMORIAL DR
Address 2
SUITE 122
City
Alton
ZIP Code
62002-6723
Phone
(618) 465-2550

Authorized Official

Name
MR. LARRY MCCULLEY
Title
PRESIDENT
Phone
(618) 332-0783

Specialties & Taxonomy Codes

Specialty
Obstetrics & Gynecology
Nurse Practitioner - Women's HealthWomen's Health
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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