Organization
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Active
Other names
SIHF Healthcare, SIHF Healthcare - Waterloo
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MCCULLEY (CEO)
(618) 332-0694
Entity
Organization
Contact information
Practice address
509 HAMACHER ST STE 201, WATERLOO, IL 62298-1592
(618) 332-0953
Mailing address
2041 GOOSE LAKE RD, SAUGET, IL 62206-2822
(618) 332-0953
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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