Southern Illinois Healthcare Foundation, INC
NPI #1538449509 in Centreville, Illinois
Provider Information
- NPI Number
- 1538449509
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 23, 2011
- Last Updated
- Aug 23, 2011
Practice Location
- Address
- 5900 BOND AVE
- City
- Centreville
- State
- Illinois
- ZIP Code
- 62207-2326
- Phone
- (618) 332-0953
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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