Southern Illinois Healthcare Foundation, Inc.
NPI #1902963028 in Centreville, Illinois
Provider Information
- NPI Number
- 1902963028
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Aug 30, 2021
Practice Location
- Address
- 6000 BOND AVE
- City
- Centreville
- State
- Illinois
- ZIP Code
- 62207-2328
- Phone
- (618) 332-2740
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Family Medicine |
| Internal Medicine |
| Obstetrics & Gynecology |
| Pediatrics |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Physician Assistant |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
Similar Providers
| Provider Name | |
|---|---|
| Southern Illinois Healthcare Foundation INC | |
| Southern Illinois Healthcare Foundation, INC | |
| Southern Illinois Healthcare Foundation INC | |
| Friend Family Health Center INC | |
| County of Whiteside |
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