| Southern Illinois Healthcare Foundation Inc | |
|
900 W Temple Ave Suite 208 Effingham IL 62401-2121 | |
| (217) 342-0211 | |
| (217) 342-0232 |
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 900 W Temple Ave, Effingham, Illinois |
| Authorized Official Name and Position | Larry Mcculley (PRESIDENT/CEO) |
| Authorized Official Contact | 6183320694 |
| 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) 332-0953 | Southern Illinois Healthcare Foundation Inc 900 W Temple Ave Suite 208 Effingham IL 62401-2121 Ph: (217) 342-0211 |
| NPI Number | 1154651776 |
|---|---|
| Provider Enumeration Date | 01/04/2010 |
| Last Update Date | 11/14/2023 |
| Certification Date | 11/14/2023 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20100311000882 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154651776 | NPI | - | NPPES |
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