Southern Illinois Healthcare Foundation Inc is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Dupo, Illinois. The current practice location for Southern Illinois Healthcare Foundation Inc is 600 Louisa Ave, Dupo, Illinois. For appointments, you can reach them via phone at
(618) 332-0953. The mailing address for Southern Illinois Healthcare Foundation Inc is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.
Southern Illinois Healthcare Foundation Inc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1699521153. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(618) 332-0953.
Primary Care Clinic Profile
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 600 Louisa Ave, Dupo, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (CEO) |
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| Authorized Official Contact | 6183320694 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| 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
600 Louisa Ave
Dupo
IL 62239-1469
Ph: (618) 332-0953 |
NPI Details:
| NPI Number | 1699521153 |
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| Provider Enumeration Date | 04/25/2024 |
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| Last Update Date | 04/25/2024 |
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Medical Identifiers
Medical identifiers for Southern Illinois Healthcare Foundation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699521153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
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