Southern Illinois Healthcare Foundation, Inc
Southern Illinois Healthcare Foundation, Inc is a Family Medicine Physician in Madison, Illinois. Registered with an NPI since 2007.
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
308 Madison AveMadison, IL 62060-1110
Phone: (618) 397-3303
Fax: (618) 397-7802
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X |
| Obstetrics & Gynecology Physician | Taxonomy 207V00000X |
| Pediatrics Physician | Taxonomy 208000000X |
Record details
| NPI number | 1255514717 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry McCulley — Coo · (618) 332-0694 |
| Other names | Madison Health Center |
| NPI enumerated | December 7, 2007 |
| Last updated in NPPES | April 20, 2008 |
| Mailing address | 8080 State St, East Saint Louis, IL 62203-1808 |
Other providers in Madison
-
Southern Illinois Healthcare Foundation, Inc
648 State St, Madison, IL 62060-1420 · (618) 397-3303
-
Southern Illinois Healthcare Foundation, Inc
1425 6th St, Madison, IL 62060-1417 · (618) 397-3303