| Sihf Hud 2 Facility | |
|
1832 Cleveland Blvd Granite City IL 62040-4500 | |
| (618) 397-3303 | |
| (618) 397-7802 |
| Full Name | Sihf Hud 2 Facility |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1832 Cleveland Blvd, Granite City, Illinois |
| Authorized Official Name and Position | Larry Mcculley (COO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sihf Hud 2 Facility 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Sihf Hud 2 Facility 1832 Cleveland Blvd Granite City IL 62040-4500 Ph: (618) 397-3303 |
| NPI Number | 1568643260 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568643260 | NPI | - | NPPES |
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