| Southern Illinois Healthcare Foundation, Inc. | |
|
2071 Goose Lake Rd Sauget IL 62206-2822 | |
| (618) 332-5369 | |
| (618) 337-9482 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2071 Goose Lake Rd, Sauget, Illinois |
| Authorized Official Name and Position | Larry Mcculley (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6183320783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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. 2071 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-5369 |
| NPI Number | 1467482968 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467482968 | NPI | - | NPPES |
| 732740 | Other | IL | WPS MEDICARE GROUP NUMBER |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2071 Goose Lake Rd, Sauget, IL 62206 Phone: 618-337-9461 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 Goose Lake Rd, Sauget, IL 62206 Phone: 618-332-0953 Fax: 618-332-2487 |