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Contact Information

SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
180 S 3RD ST STE 100
BELLEVILLE, IL62220-1952
 Phone: 618-332-0694
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.

NPI Number 1801760012
LBN Legal business name SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Authorized official LARRY MCCULLEY - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/01/2025
Last updated 10/07/2025 - About 8 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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