Southern Illinois Healthcare Foundation Inc is a mental health clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Dupo, Illinois. The current practice location for Southern Illinois Healthcare Foundation Inc is 600 Louisa Ave, Dupo, Illinois. For appointments, you can reach them via phone at (618) 332-0953. The mailing address for Southern Illinois Healthcare Foundation Inc is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 332-0953.
Southern Illinois Healthcare Foundation Inc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1699521153. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (618) 332-0953.
Clinic/center - Federally Qualified Health Center (fqhc)
Location
600 Louisa Ave, Dupo, Illinois
Authorized Official Name and Position
Larry Mcculley (CEO)
Authorized Official Contact
6183320694
Accepts Medicare Insurance
This clinic does not participate in Medicare Program.
Mailing Address and Practice Location
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 600 Louisa Ave Dupo IL 62239-1469 Ph: (618) 332-0953
NPI Details:
NPI Number
1699521153
Provider Enumeration Date
04/25/2024
Last Update Date
06/25/2026
Certification Date
06/25/2026
Medical Identifiers
Medical identifiers for Southern Illinois Healthcare Foundation Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1699521153
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
101Y00000X
Counselor
(* (Not Available))
Secondary
101YM0800X
Counselor - Mental Health
(* (Not Available))
Secondary
101YP2500X
Counselor - Professional
(* (Not Available))
Secondary
207Q00000X
Family Medicine
(* (Not Available))
Secondary
261QF0400X
Clinic/center - Federally Qualified Health Center (fqhc)
(* (Not Available))
Primary
363LF0000X
Nurse Practitioner - Family
(* (Not Available))
Secondary
Reviews and Comments
Clinic/Center in Dupo, IL
Holon Inclusive Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 S Main St, Dupo, IL 62239 Phone: 844-902-2554