Organization
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Active
Other names
SIHF Healthcare- Jackie Joyner Kersee Community C., SIHF Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY A MCCULLEY (CEO)
(618) 920-9484
Entity
Organization
Contact information
Practice address
101 JACKIE JOYNER KERSEE CIR, EAST SAINT LOUIS, IL 62204-1742
(618) 332-9484
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 920-9484
(618) 920-9484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/16/2025
Last updated
09/08/2025
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