Organization
SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up