| Southern Illinois Healthcare Foundation, Inc. | |
|
2568 N 41st St East Saint Louis IL 62201-2204 | |
| (618) 482-4015 | |
| (618) 482-4806 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2568 N 41st St, East Saint Louis, Illinois |
| Authorized Official Name and Position | Larry Mcculley (PRESIDENT) |
| Authorized Official Contact | 6183320783 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Healthcare Foundation, Inc. 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Southern Illinois Healthcare Foundation, Inc. 2568 N 41st St East Saint Louis IL 62201-2204 Ph: (618) 482-4015 |
| NPI Number | 1770648917 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 07/29/2009 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20081030000237 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770648917 | NPI | - | NPPES |
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905 | |
Southern Illinois Regional Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Kingshighway, East Saint Louis, IL 62204 Phone: 618-874-3120 Fax: 618-215-4048 | |
Roadside Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609 | |
Southern Illinois Health Care Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jackie Joyner Kersee Cir, East Saint Louis, IL 62204 Phone: 618-332-9484 | |
Southern Illinois Healthcare Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N 6th St, East Saint Louis, IL 62201 Phone: 618-397-3303 Fax: 618-397-3303 |