| Southern Illinois Healthcare Foundation Inc | |
|
180 S 3rd St Ste 200 Belleville IL 62220-1952 | |
| (618) 213-7943 | |
| (618) 213-7944 |
| Full Name | Southern Illinois Healthcare Foundation Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 180 S 3rd St Ste 200, Belleville, Illinois |
| Authorized Official Name and Position | Larry Mcculley (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 180 S 3rd St Ste 200 Belleville IL 62220-1952 Ph: (618) 213-7943 |
| NPI Number | 1982446076 |
|---|---|
| Provider Enumeration Date | 06/10/2024 |
| Last Update Date | 06/11/2026 |
| Certification Date | 06/11/2026 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20240805000037 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982446076 | NPI | - | NPPES |
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