Southern Illinois Healthcare Foundation, INC

NPI #1881145357 in Mattoon, Illinois

Provider Information

NPI Number
1881145357
Entity Type
Organization
Organization Name
Southern Illinois Healthcare Foundation, INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Oct 20, 2016
Last Updated
Oct 20, 2016

Practice Location

Address
750 BROADWAY AVE E
ZIP Code
61938-4610
Phone
(217) 238-5700

Authorized Official

Name
MR. LARRY MCCULLEY
Title
CEO
Phone
(618) 332-0694

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical
Counselor - ProfessionalProfessional
Psychiatry & Neurology - PsychiatryPsychiatry
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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