Southern Illinois Health Care Foundation, Inc.

NPI #1376589226 in Alton, Illinois

Provider Information

NPI Number
1376589226
Entity Type
Organization
Organization Name
Southern Illinois Health Care Foundation, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Jun 21, 2006
Last Updated
Aug 16, 2018

Practice Location

Address
4 MEMORIAL DR STE 210
City
Alton
ZIP Code
62002
Phone
(618) 463-5905

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional
Social Worker - ClinicalClinical
Family Medicine
Internal Medicine
Obstetrics & Gynecology
Pediatrics
Psychiatry & Neurology - PsychiatryPsychiatry
Physician Assistant
Nurse Practitioner
Advanced Practice Midwife
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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