SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC


Address: 540 N 6th St, East Saint Louis, IL 62201-1320
Phone: 6183973303

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC (NPI# 1619127289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619127289
Entity Type Organization
Organization Name SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Other Organization Name CHRISTIAN ACTIVITY HEALTH CENTER
Practice Address 540 N 6th St
East Saint Louis
IL 62201-1320
Mailing Address 8080 State St
East Saint Louis
IL 62203-1808
Practice Telephone 6183973303
Practice Fax Number 6183973303
Mailing Telephone 6183973303
Mailing Fax Number 6183977802
Enumeration Date 2008-09-19
Last Update Date 2008-09-19
Authorized Official Name MR. LARRY MCCULLEY (COO)
Authorized Official Telephone 6183320694
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Christian Activity Health Center Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1609813500 Southern Illinois Healthcare Foundation Inc Obstetrics & Gynecology 6000 Bond Ave, Centreville, IL 62207-2328 2006-05-31

Office Location

Street Address 540 N 6TH ST
City EAST SAINT LOUIS
State IL
Zip Code 62201-1320

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891937421 Destiny D. Kharsi Social Worker 540 N 6th St, East Saint Louis, IL 62201-1320 2009-03-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417593724 Brighter Hope Inc Clinic/Center 1400 E. Broadway, East St Louis, IL 62201 2019-11-21
1659759918 Olde Tyme Optical Technician/Technologist 100 N. 8th St E., Suite 264, E. St. Louis, IL 62201 2015-05-07
1689890006 Carrie Ann Settlemoir Chiropractor 699 Rte. 203, Suite 101, E.st.louis, IL 62201 2007-04-17
1659417582 Brett Irvin Dentist 1511 East Broadway, St Louis, IL 62201 2007-01-29
1386700771 Laura A. Collier Registered Nurse 540 North 6th Street, East Saint Louis, IL 62201 2006-12-29
1366508053 Yetzenia Aramis Arauz Registered Nurse 2568 North 41st Street, Fairmont City, IL 62201 2006-12-28
1255426466 Hee Man Song Specialist 100 North 8th Street, Suite 232, East St Louis, IL 62201 2006-10-04
1821109737 Richard Joseph Fleming Physical Therapist 144 Lincoln Place Ct, Suite 1, Belleville, IL 62201 2006-08-31
1942510508 Southern Illinois Health Care Foundation, Inc. Family Medicine 505 S 8th St, East Saint Louis, IL 62201 2010-10-18
1104157437 United We Trust Home Care Case Management 327 Missouri Ave, Suite 300, East Saint Louis, IL 62201 2010-01-27
Find all providers in zip 62201

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174688501 Southern Illinois Healthcare Foundation, Inc. Clinic/Center 8080 State St, East Saint Louis, IL 62203-1808 2006-12-26
1336258540 Southern Illinois Regional Wellness Center Clinic/Center 1736 Kingshighway, East Saint Louis, IL 62204-2134 2006-08-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417567108 Pillars Community Health Clinic/Center 15w458 91st St, Burr Ridge, IL 60527-6379 2020-08-06
1932724390 Friend Family Health Center, Inc Clinic/Center 7355 S Jeffery Blvd, Chicago, IL 60649-3121 2020-06-11
1871117937 Primecare Community Health Inc Clinic/Center 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 2020-06-04
1639791569 Community Health Partnership of Illinois Clinic/Center 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 2020-05-14
1407482219 Access Community Health Network Clinic/Center 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 2020-03-13
1235769704 Greater Elgin Family Care Center Clinic/Center 451 N Mclean Blvd, Elgin, IL 60123-3239 2020-01-23
1710517537 Greater Elgin Family Care Center Integrated Health Home Clinic/Center 1100 Shirley Ave, Streamwood, IL 60107-3068 2020-01-21
1215578109 Board of Trustees of Southern Illinois University Clinic/Center 205 S 24th St Ste 100, Quincy, IL 62301-4446 2019-10-02
1437708674 Board of Trustees of Southern Illinois University Clinic/Center 300 W Oak Street, Carbondale, IL 62901 2019-09-10
1427600345 The Board of Trustees of The University of Illinois Clinic/Center 6835 S Normal Blvd, Chicago, IL 60621-2535 2019-07-11
Find all providers with the same taxonomy

Competitor

Search similar providers

City EAST SAINT LOUIS
Zip Code 62201

Improve Information

Please comment or provide details below to improve the information on SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches