Delmar Dental Center

LBN: Southern Illinois Healthcare Foundation, Inc.
Delmar Dental Center is an health care organization with primary practice located at 1820 Delmar Ave , Granite City IL 62040-4507. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, 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) 877-4489, or through Mcculley, Larry via phone (618) 332-0649.

Contact Information

Primary practice address
1820 Delmar Ave Granite City IL 62040-4507
Phone: (618) 877-4489
Fax: (618) 877-4487
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 332-0649

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1619150174
LBN Legal business name Southern Illinois Healthcare Foundation, Inc.
DBA Doing business as Delmar Dental Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 7th, 2007
Last updated Apr 12th, 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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