Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Other names
SIHF Healthcare - O'Fallon, SIHF Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
3 SAINT ELIZABETH BLVD STE 4000, O FALLON, IL 62269-1099
(618) 233-5480
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
16183320953
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
1041C0700X
Clinical Social Worker
—
IL
207Q00000X
Family Medicine Physician
—
IL
207R00000X
Internal Medicine Physician
—
IL
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
IL
Other
Enumeration date
09/01/2017
Last updated
10/27/2022
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