| Southern Illinois Healthcare Foundation Inc | |
|
1710 State Route 133 Arthur IL 61911 | |
| (217) 543-2446 | |
| (217) 543-2548 |
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1710 State Route 133, Arthur, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CEO) |
| Authorized Official Contact | 6189736229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Healthcare Foundation Inc 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0694 | Southern Illinois Healthcare Foundation Inc 1710 State Route 133 Arthur IL 61911 Ph: (217) 543-2446 |
| NPI Number | 1508301706 |
|---|---|
| Provider Enumeration Date | 12/23/2016 |
| Last Update Date | 12/23/2022 |
| Certification Date | 12/23/2022 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20170425000282 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508301706 | NPI | - | NPPES |
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