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Organization

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Active
Other names
SIHF Healthcare - Olney, SIHF Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization

Contact information

Practice address
1120 N EAST ST, OLNEY, IL 62450-6927
(618) 395-5222
(618) 395-8552
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
(618) 332-2487

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
2084P0800X
Psychiatry Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-1156
NGS MEDICARE
IL
Enumeration date
01/25/2012
Last updated
08/27/2024
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