Southern Illinois Healthcare Foundation, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Greenup, Illinois. The current practice location for Southern Illinois Healthcare Foundation, Inc. is 302 North Mill Street, Greenup, Illinois. For appointments, you can reach them via phone at
(618) 397-3303. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.
Southern Illinois Healthcare Foundation, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its
NPI number is 1346423803. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(618) 397-3303.
Primary Care Clinic Profile
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
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| Speciality | Clinic/Center |
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| Location | 302 North Mill Street, Greenup, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (COO) |
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| Authorized Official Contact | 6183320694 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southern Illinois Healthcare Foundation, Inc.
8080 State St
East Saint Louis
IL 62203-1808
Ph: (618) 397-3303 | Southern Illinois Healthcare Foundation, Inc.
302 North Mill Street
Greenup
IL 62428
Ph: (618) 397-3303 |
NPI Details:
| NPI Number | 1346423803 |
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| Provider Enumeration Date | 12/07/2007 |
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| Last Update Date | 04/20/2008 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1456256874 |
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| Medicare Enrollment ID | O20071227000556 |
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Medical Identifiers
Medical identifiers for Southern Illinois Healthcare Foundation, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346423803 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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