Salem Medical Center
LBN: Southern Illinois Healthcare Foundation, Inc.
Salem Medical Center is an health care organization with primary practice located at 1275 Hawthorn Rd , Salem IL 62881-1028. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Dentist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Southern Illinois Healthcare Foundation, Inc. can be contacted via phone (618) 548-4545, or through Mcculley, Larry via phone (618) 332-0783.
Contact Information
Primary practice address
1275 Hawthorn Rd
Salem IL 62881-1028
Phone: (618) 548-4545
Fax: (618) 548-4577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1376588848 |
|---|---|
| LBN Legal business name | Southern Illinois Healthcare Foundation, Inc. |
| DBA Doing business as | Salem Medical Center |
| Authorized official | Mcculley, Larry |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2006 |
| Last updated | Apr 20th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376588848 | NPPES |
| Illinois | Other | 201518 | WPS MEDICARE GROUP NUMBER |
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