Southern Illinois Healthcare Foundation, Inc.
NPI #1487719860 in East Alton, Illinois
Provider Information
- NPI Number
- 1487719860
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 2 TERMINAL DR
- Address 2
- SUITE 8
- City
- East Alton
- State
- Illinois
- ZIP Code
- 62024-2268
- Phone
- (618) 258-0485
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF OPERATING OFFICER
- Phone
- (618) 332-0783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Family Medicine |
| Internal Medicine |
| Obstetrics & Gynecology |
| Pediatrics |
| Nurse Practitioner |
| Orthopaedic Surgery |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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