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Organization

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Active
Other names
Cahokia School Based Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARRY MCCULLEY (CHIEF OPERATING OFFICER)
(618) 332-0783
Entity
Organization

Contact information

Practice address
800 RANGE LN, CAHOKIA, IL 62206-2022
(618) 337-3117
(618) 337-3122
Mailing address
8080 STATE ST, EAST SAINT LOUIS, IL 62203-1808
(618) 397-3303
(618) 397-7802

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
363LS0200X
School Nurse Practitioner
Primary

Other

Enumeration date
12/26/2006
Last updated
09/11/2025
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