Southern Illinois Healthcare Foundation Inc

LBN: Southern Illinois Healthcare Foundation Inc
Southern Illinois Healthcare Foundation Inc is an health care organization with primary practice located at 311 W Lincoln St Ste 200 , Belleville IL 62220-1902. The organization recently has 4 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 / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. 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) 213-7943, or through Mcculley, Larry via phone (618) 332-0694.

Contact Information

Primary practice address
311 W Lincoln St Ste 200 Belleville IL 62220-1902
Phone: (618) 213-7943
Fax: (618) 213-7944
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
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X

Profile Details

NPI number 1982446076
LBN Legal business name Southern Illinois Healthcare Foundation Inc
DBA Doing business as
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2024
Last updated Jun 10th, 2024 - about last year

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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