Children'S Medical Center

LBN: Southern Illinois Healthcare Foundation, Inc.
Children'S Medical Center is an health care organization with primary practice located at 2810 Frank Scott Pkwy W , Belleville IL 62223-5007. The organization recently has 2 registered licenses in different health care specialties including 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) 236-6336, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
2810 Frank Scott Pkwy W Belleville IL 62223-5007
Phone: (618) 236-6336
Fax: (618) 236-9582
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 332-0694

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1699066985
LBN Legal business name Southern Illinois Healthcare Foundation, Inc.
DBA Doing business as Children'S Medical Center
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2011
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.

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