NPI | 1780609578 |
---|---|
Doing Business As | BELLEVILLE FAMILY HEALTH CENTER |
Doing Business As | SIHF HEALTHCARE |
Entity Type | Organization |
Authorized Contact | LARRY MCCULLEY Chief Operating Officer 618-332-0783 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YP2500X Counselor, Professional |
1041C0700X Social Worker, Clinical | |
207N00000X Dermatology | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2006-07-13 |
Last Update Date | 2018-08-16 |