Southern Illinois Healthcare Foundation, Inc.
NPI #1831254234 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1831254234
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Feb 25, 2013
Practice Location
- Address
- 3939 CASEYVILLE AVE
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62204-2448
- Phone
- (618) 482-4562
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - School — School |
| Family Medicine |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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