| Southern Illinois Healthcare Foundation, Inc. | |
|
900 W Temple Ave Ste 208 Effingham IL 62401-2187 | |
| (217) 342-0211 | |
| (217) 342-0232 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 900 W Temple Ave Ste 208, Effingham, Illinois |
| Authorized Official Name and Position | Larry Mcculley (PRESIDENT/CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 Ste 208 Effingham IL 62401-2187 Ph: (217) 342-0211 |
| NPI Number | 1013198712 |
|---|---|
| Provider Enumeration Date | 11/21/2007 |
| Last Update Date | 03/01/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013198712 | NPI | - | NPPES |
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Southern Illinois Healthcare Foundation Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 900 W Temple Ave, Suite 208, Effingham, IL 62401 Phone: 217-342-0211 Fax: 217-342-0232 | |
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