Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Southern Illinois Healthcare Foundation Inc

Organization Family Medicine Physician · NPI 1619127289

Southern Illinois Healthcare Foundation Inc is a Family Medicine Physician in East Saint Louis, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 N 6th St
East Saint Louis, IL 62201-1320
Phone: (618) 397-3303
Fax: (618) 397-3303
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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

Record details

NPI number1619127289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Coo · (618) 332-0694
Other names Christian Activity Health Center
NPI enumeratedSeptember 19, 2008
Last updated in NPPESSeptember 19, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

Other providers in East Saint Louis