Southern Illinois Healthcare Foundation, INC
NPI #1801822010 in Granite City, Illinois
Provider Information
- NPI Number
- 1801822010
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 2100 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4701
- Phone
- (618) 452-3301
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF OPERATING OFFICER
- Phone
- (618) 332-0783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
| Obstetrics & Gynecology |
| Pediatrics |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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