<Unavail>

LBN: Southern Illinois Healthcare Foundation Inc
<Unavail> is an health care organization with primary practice located at 1710 State Route 133 , Arthur IL 61911. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, 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 (217) 543-2446, or through Mcculley, Larry via phone (618) 973-6229.

Contact Information

Primary practice address
1710 State Route 133 Arthur IL 61911
Phone: (217) 543-2446
Fax: (217) 543-2548
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Larry
Phone: (618) 973-6229

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X Illinois

Profile Details

NPI number 1508301706
LBN Legal business name Southern Illinois Healthcare Foundation Inc
DBA Doing business as <Unavail>
Authorized official Mcculley, Larry
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2016
Last updated Dec 23rd, 2022 - about 4 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.

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