SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

GLEN CARBON, IL
NPI1790548782
Other NameSIHF HEALTHCARE - GLEN CARBON
Doing Business AsSIHF HEALTHCARE
Entity TypeOrganization
Authorized ContactLARRY MCCULLEY
President/CEO
618-332-0694
Organization Subpart ?No
Primary Taxonomy261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)
Additional Taxonomies207R00000X Internal Medicine
363A00000X Physician Assistant
Enumeration Date2024-02-01
Last Update Date2024-02-29
Business Address
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
4230 S STATE ROUTE 159
GLEN CARBON, IL 62034-3201
Phone number: 618-332-0694
Mailing Address
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
2041 GOOSE LAKE RD
SAUGET, IL 62206-2822
Phone number: 618-332-0953