Southern Illinois Healthcare Foundation INC

NPI #1427749845 in Alton, Illinois

Provider Information

NPI Number
1427749845
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
May 17, 2023
Last Updated
May 26, 2023

Practice Location

Address
2 SAINT ANTHONYS WAY STE 101
City
Alton
ZIP Code
62002-4580
Phone
(618) 332-0953

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
Pediatrics
Physician Assistant
Nurse Practitioner
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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