Southern Illinois Health Care Foundation, Inc. is a primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Alorton, Illinois. The current practice location for Southern Illinois Health Care Foundation, Inc. is 432 Vivian Way, Alorton, Illinois. For appointments, you can reach them via phone at
(618) 646-2417. The mailing address for Southern Illinois Health Care Foundation, Inc. is 2041 Goose Lake Rd, Sauget, Illinois and phone number is (618) 920-9484.
Southern Illinois Health Care Foundation, Inc. is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1487543591. 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) 646-2417.
Primary Care Clinic Profile
| Full Name | Southern Illinois Health Care Foundation, Inc. |
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| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
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| Location | 432 Vivian Way, Alorton, Illinois |
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| Authorized Official Name and Position | Larry Mcculley (CEO) |
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| Authorized Official Contact | 6189209484 |
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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 Health Care Foundation, Inc.
2041 Goose Lake Rd
Sauget
IL 62206-2822
Ph: (618) 920-9484 | Southern Illinois Health Care Foundation, Inc.
432 Vivian Way
Alorton
IL 62207
Ph: (618) 646-2417 |
NPI Details:
| NPI Number | 1487543591 |
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| Provider Enumeration Date | 07/02/2025 |
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| Last Update Date | 07/02/2025 |
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Medical Identifiers
Medical identifiers for Southern Illinois Health Care Foundation, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487543591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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