| Southern Illinois Healthcare Foundation, Inc. | |
|
180 S 3rd St Ste 103 Belleville IL 62220-1952 | |
| (618) 222-4763 | |
| Not Available |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 S 3rd St Ste 103, Belleville, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CHIEF EXECUTIVE OFFICER) |
| 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) 332-0953 | Southern Illinois Healthcare Foundation, Inc. 180 S 3rd St Ste 103 Belleville IL 62220-1952 Ph: (618) 222-4763 |
| NPI Number | 1487882775 |
|---|---|
| Provider Enumeration Date | 06/25/2009 |
| Last Update Date | 02/26/2025 |
| Certification Date | 02/26/2025 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20230206001728 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487882775 | NPI | - | NPPES |
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