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

Southern Illinois Healthcare Foundation, Inc

Organization Internal Medicine Physician · NPI 1801822010

Southern Illinois Healthcare Foundation, Inc is an Internal Medicine Physician in Granite City, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
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

2100 Madison Ave
Granite City, IL 62040-4701
Phone: (618) 452-3301
Fax: (618) 452-3312
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Internal Medicine Physician Taxonomy 207R00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1801822010
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Chief Operating Officer · (618) 332-0783
Other names Koch Health Center
NPI enumeratedJune 23, 2006
Last updated in NPPESApril 20, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

Other providers in Granite City