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Southern Illinois Healthcare Foundation, Inc.

Southern Illinois Healthcare Foundation, Inc. is a health care provider in East Saint Louis, IL. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 302 North Mill Street, Greenup, IL 62428, US
Practice Location Phone618-397-3303
Practice Location Fax618-397-7802
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Other Organization NameCUMBERLAND COUNTY HEALTH CENTER
Other Organization Name TypeDoing Business As Name
NPI ?1346423803
Entity TypeOrganization
Enumeration Date ? Dec 7, 2007
Last Update Date ? Apr 20, 2008
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Southern Illinois Healthcare Foundation, Inc.

SpecialtySpecializationLicenseLicense State
Family Medicine
Internal Medicine
Clinic/CenterFederally Qualified Health Center (FQHC)

legacy-id-icon Legacy Provider IDs of Southern Illinois Healthcare Foundation, Inc.

Provider IdIssuer StateIssuer TypeIssuer
=========050IllinoisMedicaid

official-icon Authorized Official of Southern Illinois Healthcare Foundation, Inc.

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Southern Illinois Healthcare Foundation, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mr. Larry Mcculley
Authorized Official Title/PositionCOO
Authorized Official Phone Number618-332-0694