Southern Illinois Healthcare Foundation, Inc. is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Pontoon Beach, Illinois. The current practice location for Southern Illinois Healthcare Foundation, Inc. is 3924 Oakmont Dr, Pontoon Beach, Illinois. For appointments, you can reach them via phone at
(618) 397-3303. The mailing address for Southern Illinois Healthcare Foundation, Inc. is 8080 State St, East Saint Louis, Illinois and phone number is (618) 397-3303.
Southern Illinois Healthcare Foundation, Inc. is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1386825412. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(618) 397-3303.
Primary Care Clinic Profile
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 3924 Oakmont Dr, Pontoon Beach, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (COO) |
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| Authorized Official Contact | 6183320694 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| 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.
3924 Oakmont Dr
Pontoon Beach
IL 62040-4395
Ph: (618) 397-3303 |
NPI Details:
| NPI Number | 1386825412 |
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| Provider Enumeration Date | 11/16/2007 |
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| Last Update Date | 11/16/2007 |
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Medical Identifiers
Medical identifiers for Southern Illinois Healthcare Foundation, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1386825412 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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