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SOUTHERN ILLINOIS HEALTH CARE FOUNDATION INC. NPI 1376589226


NPI Information

NPI: 1376589226
Provider Name: SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.

Doing Business As: SIHF HEALTHCARE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4 MEMORIAL DR STE 210
ALTON, IL
ZIP 62002
Phone: (618) 463-5905
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SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. is a federally qualified health center (fqhc) clinic center in Alton, IL. SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. NPI is 1376589226. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sihf Healthcare.

The provider's business location address is:

4 MEMORIAL DR STE 210
ALTON, IL
ZIP 62002
Phone: (618) 463-5905

The provider's authorized official is Larry Mcculley .
The authorized official title is President/ceo and has the following contact phone number (618) 332-0694.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/16/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalNo
21041C0700XSocial WorkerClinicalNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineNo
5207V00000XObstetrics & GynecologyNo
6208000000XPediatricsNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8363A00000XPhysician AssistantNo
9363L00000XNurse PractitionerNo
10367A00000XAdvanced Practice MidwifeNo
11261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1732740OTHERILLINOISWPS MEDICARE GROUP NUMBER
2=========012MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.