Southern Illinois Healthcare Foundation, Inc
Southern Illinois Healthcare Foundation, Inc is a Family Medicine Physician in Sauget, Illinois. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2071 Goose Lake RdSauget, IL 62206-2822
Phone: (618) 332-5369
Fax: (618) 337-9482
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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 |
| Internal Medicine Physician | Taxonomy 207R00000X |
Record details
| NPI number | 1467482968 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Larry McCulley — Chief Operating Officer · (618) 332-0783 |
| Other names | Family Care Center |
| NPI enumerated | July 3, 2006 |
| Last updated in NPPES | October 30, 2008 |
| Mailing address | 8080 State St, East Saint Louis, IL 62203-1808 |
Other providers in Sauget
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Southern Illinois Healthcare Foundation, Inc
2071 Goose Lake Rd, Sauget, IL 62206-2822 · (618) 337-9461