Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Other names
SIHF Healthcare, SIHF Healthcare - Archview
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (PRESIDENT/CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
2071 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 337-9461
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IL
207RC0000X
Cardiovascular Disease Physician
—
IL
207RN0300X
Nephrology Physician
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
Other
Enumeration date
09/14/2016
Last updated
03/01/2024
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