Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Other names
SIHF Healthcare - Belleville Circle, SIHF Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (PRESIDENT/CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
180 S 3RD ST STE 100, BELLEVILLE, IL 62220-1952
(618) 332-0953
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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