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
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 - ProfessionalProfessional
Social Worker - ClinicalClinical
Family Medicine
Internal Medicine
Obstetrics & Gynecology
Pediatrics
Psychiatry & Neurology - PsychiatryPsychiatry
Physician Assistant
Nurse Practitioner - FamilyFamily
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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