| Southern Illinois Healthcare Foundation, Inc. | |
|
308 Madison Ave Madison IL 62060-1110 | |
| (618) 397-3303 | |
| (618) 397-7802 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 308 Madison Ave, Madison, Illinois |
| Authorized Official Name and Position | Larry Mcculley (COO) |
| 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. 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Southern Illinois Healthcare Foundation, Inc. 308 Madison Ave Madison IL 62060-1110 Ph: (618) 397-3303 |
| NPI Number | 1255514717 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255514717 | NPI | - | NPPES |
Madison County Urban League Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Madison Ave, Madison, IL 62060 Phone: 618-876-9145 Fax: 618-452-5392 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 648 State St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802 | |
Granite City Clinic Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 602 Farrish St, Madison, IL 62060 Phone: 618-501-6261 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1425 6th St, Madison, IL 62060 Phone: 618-397-3303 Fax: 618-397-7802 |