NPI | 1023371143 |
---|---|
Other Name | SIHF HEALTHCARE - MATTOON |
Doing Business As | SIHF HEALTHCARE |
Entity Type | Organization |
Authorized Contact | LARRY MCCULLEY President/CEO 618-332-0694 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
101YM0800X Counselor, Mental Health | |
1041C0700X Social Worker, Clinical | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
Enumeration Date | 2012-06-22 |
Last Update Date | 2024-03-01 |