Belleville Family Health Center

LBN: Southern Illinois Health Care Foundation, Inc.
Belleville Family Health Center is an health care organization with primary practice located at 180 S 3Rd St Ste 103&104 , Belleville IL 62220. The organization recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Southern Illinois Health Care Foundation, Inc. can be contacted via phone (618) 233-5480, or through Mcculley, Larry via phone (618) 332-0783.

Contact Information

Primary practice address
180 S 3Rd St Ste 103&104 Belleville IL 62220
Phone: (618) 233-5480
Fax: (618) 233-4790
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 332-0783

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1780609578
LBN Legal business name Southern Illinois Health Care Foundation, Inc.
DBA Doing business as Belleville Family Health Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 16th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780609578 NPPES
Illinois Other 732740 WPS MEDICARE GROUP NUMBER

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