Centreville Health Center

LBN: Southern Illinois Healthcare Foundation Inc
Centreville Health Center is an health care organization with primary practice located at 6000 Bond Ave , Centreville IL 62207-2328. The organization recently has 10 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, Allopathic & Osteopathic Physicians / Pediatric Pulmonology, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, 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) 332-2740, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
6000 Bond Ave Centreville IL 62207-2328
Phone: (618) 332-2740
Fax: (618) 332-8755
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 / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1609813500
LBN Legal business name Southern Illinois Healthcare Foundation Inc
DBA Doing business as Centreville Health Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date May 31st, 2006
Last updated May 26th, 2016 - about 8 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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