Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Other names
SIHF Healthcare, SIHF Healthcare - Red Bud
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (PRESIDENT/CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
824 LOCUST ST, RED BUD, IL 62278-1209
(618) 282-6656
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0694
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/05/2016
Last updated
03/01/2024
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