Esl School Based Clinic

LBN: Southern Illinois Healthcare Foundation, Inc.
Esl School Based Clinic is an health care organization with primary practice located at 3939 Caseyville Ave , East Saint Louis IL 62204-2448. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / School. 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) 482-4562, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
3939 Caseyville Ave East Saint Louis IL 62204-2448
Phone: (618) 482-4562
Fax: (618) 482-4930
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 Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / School 363LS0200X

Profile Details

NPI number 1831254234
LBN Legal business name Southern Illinois Healthcare Foundation, Inc.
DBA Doing business as Esl School Based Clinic
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2006
Last updated Feb 25th, 2013 - about 11 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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