Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Other names
SIHF Healthcare, SIHF Healthcare - Dupo School
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
600 LOUISA AVE, DUPO, IL 62239-1469
(618) 332-0953
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
04/25/2024
Last updated
06/25/2026
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