| Southern Illinois Healthcare Foundation, Inc. | |
|
824 Locust St Red Bud IL 62278-1209 | |
| (618) 282-6656 | |
| Not Available |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 824 Locust St, Red Bud, Illinois |
| Authorized Official Name and Position | Larry Mcculley (PRESIDENT/CEO) |
| Authorized Official Contact | 6183320694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Healthcare Foundation, Inc. 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0694 | Southern Illinois Healthcare Foundation, Inc. 824 Locust St Red Bud IL 62278-1209 Ph: (618) 282-6656 |
| NPI Number | 1033573183 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20160420001731 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033573183 | NPI | - | NPPES |
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