Southern Illinois Healthcare Foundation, Inc.
NPI #1699066985 in Belleville, Illinois
Provider Information
- NPI Number
- 1699066985
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Apr 21, 2011
- Last Updated
- Aug 2, 2011
Practice Location
- Address
- 2810 FRANK SCOTT PKWY W
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62223-5007
- Phone
- (618) 236-6336
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
Similar Providers
| Provider Name | |
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| Southern Illinois Healthcare Foundation, Inc. | |
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| Southern Illinois Healthcare Foundation, INC | |
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