| Southern Illinois Healthcare Foundation Inc | |
|
9649 Collinsville Rd Collinsville IL 62234-1876 | |
| (618) 332-0953 | |
| Not Available |
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9649 Collinsville Rd, Collinsville, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Healthcare Foundation Inc 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Southern Illinois Healthcare Foundation Inc 9649 Collinsville Rd Collinsville IL 62234-1876 Ph: (618) 332-0953 |
| NPI Number | 1790455103 |
|---|---|
| Provider Enumeration Date | 09/16/2021 |
| Last Update Date | 09/16/2021 |
| Certification Date | 08/31/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790455103 | NPI | - | NPPES |
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