SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.; NPI #1689739062

Contact Information

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

800 RANGE LN
CAHOKIA, IL 62206-2022

Phone: 618-337-3117
Fax: 618-337-3122
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
School	363LS0200X	50	Nurse Practitioner
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center

Indicates primary specialty

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NPI Profile & details for SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

NPI Number	`1689739062`
LBN Legal business name	SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Authorized official	LARRY MCCULLEY - (CHIEF OPERATING OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	12/26/2006
Last updated	09/11/2025 - About 9 months ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Contact Information

Specialty

School

Federally Qualified Health Center (FQHC)

NPI Profile & details for SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Reviews for SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.