Southern Illinois Health Care Foundation, Inc.
NPI #1942510508 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1942510508
- Entity Type
- Organization
- Organization Name
- Southern Illinois Health Care Foundation, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Oct 18, 2010
- Last Updated
- Aug 16, 2018
Practice Location
- Address
- 505 S 8TH ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62201
- Phone
- (618) 332-0953
Authorized Official
- Name
- MR. LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Counselor - Professional — Professional |
| Social Worker - Clinical — Clinical |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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