Southern Illinois Healthcare Foundation, Inc.
NPI #1376588871 in Belleville, Illinois
Provider Information
- NPI Number
- 1376588871
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 18, 2006
- Last Updated
- Aug 8, 2014
Practice Location
- Address
- 2900 FRANK SCOTT PKWY W
- Address 2
- SUITE 950
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5000
- Phone
- (618) 233-3205
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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