West Belleville Health Center

LBN: Southern Illinois Healthcare Foundation, Inc
West Belleville Health Center is an health care organization with primary practice located at 7210 W Main St , Belleville IL 62223-3038. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, 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) 394-0712, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
7210 W Main St Belleville IL 62223-3038
Phone: (618) 394-0712
Fax: (618) 394-1346
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 332-0694

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1275561797
LBN Legal business name Southern Illinois Healthcare Foundation, Inc
DBA Doing business as West Belleville Health Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2006
Last updated Nov 3rd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275561797 NPPES
Illinois Other 732740 WPS MEDICARE GROUP NUMBER

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