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.
|Practice Location|| 302 North Mill Street, Greenup, IL 62428, US |
|Practice Location Phone||618-397-3303|
|Practice Location Fax||618-397-7802|
|Legal Business Name||SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.|
|Other Organization Name||CUMBERLAND COUNTY HEALTH CENTER|
|Other Organization Name Type||Doing Business As Name|
|Enumeration Date ? ||Dec 7, 2007|
|Last Update Date ? ||Apr 20, 2008|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Southern Illinois Healthcare Foundation, Inc.
|Specialty||Provider Type||Specialization||License||License State|
|Family Medicine||Allopathic & Osteopathic Physicians|| |
|Internal Medicine||Allopathic & Osteopathic Physicians|| |
|Clinic/Center||Ambulatory Health Care Facilities||Federally Qualified Health Center (FQHC) |
Legacy Provider IDs of Southern Illinois Healthcare Foundation, Inc.
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||COO|
|Authorized Official Phone Number||618-332-0694|