Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Active
Other names
SIHF Healthcare, Central Collinsville Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY MCCULLEY (CHIEF EXECUTIVE OFFICER)
(618) 332-0694
Entity
Organization
Contact information
Practice address
1215 VANDALIA AVENUE, COLLINSVILLE, IL 62234
(618) 397-3303
(618) 397-7802
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0694
(618) 332-2487
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
IL
1041C0700X
Clinical Social Worker
—
IL
122300000X
Dentist
—
IL
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
IL
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/17/2008
Last updated
07/29/2025
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