Southern Illinois Healthcare Foundation INC
NPI #1609813500 in Centreville, Illinois
Provider Information
- NPI Number
- 1609813500
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- May 31, 2006
- Last Updated
- May 26, 2016
Practice Location
- Address
- 6000 BOND AVE
- City
- Centreville
- State
- Illinois
- ZIP Code
- 62207-2328
- Phone
- (618) 332-2740
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Dentist |
| Pediatrics |
| Pediatrics - Pediatric Pulmonology — Pediatric Pulmonology |
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
| Pediatrics - Pediatric Hematology-Oncology — Pediatric Hematology-Oncology |
| Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology — Neurology with Special Qualifications in Child Neurology |
| Family Medicine |
| Internal Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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