Southern Illinois Healthcare Foundation, Inc.
NPI #1487882775 in Belleville, Illinois
Provider Information
- NPI Number
- 1487882775
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 25, 2009
- Last Updated
- Feb 26, 2025
Practice Location
- Address
- 180 S 3RD ST STE 103
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1952
- Phone
- (618) 222-4763
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (618) 973-6229
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Nurse Practitioner |
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Internal Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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