Christian Activity Health Center

LBN: Southern Illinois Healthcare Foundation Inc
Christian Activity Health Center is an health care organization with primary practice located at 540 N 6Th St , East Saint Louis IL 62201-1320. 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) 397-3303, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
540 N 6Th St East Saint Louis IL 62201-1320
Phone: (618) 397-3303
Fax: (618) 397-3303
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 332-0694

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1619127289
LBN Legal business name Southern Illinois Healthcare Foundation Inc
DBA Doing business as Christian Activity Health Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2008
Last updated Sep 19th, 2008 - about 17 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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