| Southern Illinois Healthcare Foundation, Inc. | |
|
2071 Goose Lake Rd Sauget IL 62206-2822 | |
| (618) 337-9461 | |
| Not Available |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2071 Goose Lake Rd, Sauget, 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) 332-0953 | Southern Illinois Healthcare Foundation, Inc. 2071 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 337-9461 |
| NPI Number | 1083162432 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 03/01/2024 |
| Medicare PECOS PAC ID | 1456256874 |
|---|---|
| Medicare Enrollment ID | O20170913000810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083162432 | NPI | - | NPPES |
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 | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2071 Goose Lake Rd, Sauget, IL 62206 Phone: 618-332-5369 Fax: 618-337-9482 |