Southern Illinois Healthcare Foundation, Inc.
NPI #1487070835 in Charleston, Illinois
Provider Information
- NPI Number
- 1487070835
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 10, 2014
- Last Updated
- Jun 2, 2016
Practice Location
- Address
- 626 W LINCOLN AVE
- City
- Charleston
- State
- Illinois
- ZIP Code
- 61920-2444
- Phone
- (217) 345-7702
Authorized Official
- Name
- LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Dentist |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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