| Southern Illinois Healthcare Foundation, Inc. | |
|
2041 Goose Lake Rd Sauget IL 62206-2822 | |
| (618) 332-0953 | |
| (618) 332-2487 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2041 Goose Lake Rd, Sauget, 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 Healthcare Foundation, Inc. 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 | Southern Illinois Healthcare Foundation, Inc. 2041 Goose Lake Rd Sauget IL 62206-2822 Ph: (618) 332-0953 |
| NPI Number | 1174688501 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 04/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174688501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Southern Illinois Healthcare Foundation, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2071 Goose Lake Rd, Sauget, IL 62206 Phone: 618-337-9461 | |
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 |