Central Alton Health Center
LBN: Southern Illinois Healthcare Foundation, Inc.
Central Alton Health Center is an health care organization with primary practice located at 2615 Edwards St , Alton IL 62002-3915. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Southern Illinois Healthcare Foundation, Inc. can be contacted via phone (618) 462-4342, or through Mcculley, Larry via phone (618) 332-0694.
Contact Information
Primary practice address
2615 Edwards St
Alton IL 62002-3915
Phone: (618) 462-4342
Fax: (618) 462-5334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | Illinois |
Profile Details
| NPI number | 1235430323 |
|---|---|
| LBN Legal business name | Southern Illinois Healthcare Foundation, Inc. |
| DBA Doing business as | Central Alton Health Center |
| Authorized official | Mcculley, Larry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 5th, 2010 |
| Last updated | Aug 2nd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235430323 | NPPES |
| Illinois | Other | 141142 | MEDICARE |
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