Southern Illinois Healthcare Foundation INC
NPI #1619127289 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1619127289
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 19, 2008
- Last Updated
- Sep 19, 2008
Practice Location
- Address
- 540 N 6TH ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62201-1320
- Phone
- (618) 397-3303
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- COO
- 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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