| Southern Illinois Health Care Foundation, Inc. | |
| 
					505 S 8th St East Saint Louis IL 62201  | |
| (618) 332-0953 | |
| Not Available | 
| Full Name | Southern Illinois Health Care Foundation, Inc. | 
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) | 
| Location | 505 S 8th St, East Saint Louis, Illinois | 
| Authorized Official Name and Position | Larry Mcculley (CEO) | 
| Authorized Official Contact | 6183320694 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Southern Illinois Health Care Foundation, Inc. 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953  | Southern Illinois Health Care Foundation, Inc. 505 S 8th St East Saint Louis IL 62201 Ph: (618) 332-0953  | 
| NPI Number | 1942510508 | 
|---|---|
| Provider Enumeration Date | 10/18/2010 | 
| Last Update Date | 08/16/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1942510508 | NPI | - | NPPES | 
Board Of Trustees Of Southern Illinois University Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 601 James R Thompson Blvd, Building D, Suite 2015, East Saint Louis, IL 62201 Phone: 618-482-6959 Fax: 618-482-8311  | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2001 State St, East Saint Louis, IL 62205 Phone: 618-271-0207 Fax: 618-271-9617  | |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6010 Bond Ave, East Saint Louis, IL 62207 Phone: 618-337-8153 Fax: 618-337-8905  | |
Southern Illinois Regional Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1736 Kingshighway, East Saint Louis, IL 62204 Phone: 618-874-3120 Fax: 618-215-4048  | |
Roadside Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 699 State Route 203, Suite 1, East Saint Louis, IL 62201 Phone: 941-225-2520 Fax: 888-860-8609  | |
Southern Illinois Health Care Foundation, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Jackie Joyner Kersee Cir, East Saint Louis, IL 62204 Phone: 618-332-9484  | |
Southern Illinois Healthcare Foundation Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 540 N 6th St, East Saint Louis, IL 62201 Phone: 618-397-3303 Fax: 618-397-3303  |