| Southern Illinois Healthcare Foundation, Inc. | |
|
3939 Caseyville Ave East Saint Louis IL 62204-2448 | |
| (618) 482-4562 | |
| (618) 482-4930 |
| Full Name | Southern Illinois Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3939 Caseyville Ave, 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 Healthcare Foundation, Inc. 8080 State St East Saint Louis IL 62203-1808 Ph: (618) 397-3303 | Southern Illinois Healthcare Foundation, Inc. 3939 Caseyville Ave East Saint Louis IL 62204-2448 Ph: (618) 482-4562 |
| NPI Number | 1831254234 |
|---|---|
| Provider Enumeration Date | 12/26/2006 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831254234 | 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 | |
Osh-il Physicians Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2420 State St, East Saint Louis, IL 62205 Phone: 618-318-8809 Fax: 618-615-4205 | |
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 | |
Kenneth Hall Regional Hospital, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 129 N 8th St, East Saint Louis, IL 62201 Phone: 618-482-7044 Fax: 618-482-7018 |