Southern Illinois Health Care Foundation, Inc.
NPI #1780609578 in Belleville, Illinois
Provider Information
- NPI Number
- 1780609578
- Entity Type
- Organization
- Organization Name
- Southern Illinois Health Care Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 180 S 3RD ST STE 103&104
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220
- Phone
- (618) 233-5480
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF OPERATING OFFICER
- Phone
- (618) 332-0783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Dermatology |
| Family Medicine |
| Internal Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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