Southern Illinois Healthcare Foundation INC
NPI #1982446076 in Belleville, Illinois
Provider Information
- NPI Number
- 1982446076
- Entity Type
- Organization
- Organization Name
- Southern Illinois Healthcare Foundation INC
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jun 10, 2024
- Last Updated
- Jun 10, 2024
Practice Location
- Address
- 311 W LINCOLN ST STE 200
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62220-1902
- Phone
- (618) 213-7943
Authorized Official
- Name
- LARRY MCCULLEY
- Title
- CEO
- Phone
- (618) 332-0694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Physician Assistant |
| Nurse Practitioner |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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