SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC – NPI #1255104923
Clinic/Center

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC is an AHC clinic located in BELLEVILLE, IL. NPPES has assigned the NPI number 1255104923 to SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC on November 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC below.

NPI Profile for
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

NPI Number
1255104923
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Other name(s)
All associated names:
Doing Business As (dba)
SIHF Healthcare
Other Name
SIHF Healthcare - Multi-Specialty
Primary location
180 S 3RD ST STE 300
BELLEVILLE, IL 62220-1952
Phone: (618) 332-0953 Fax:
Mailing address
2041 GOOSE LAKE RD
SAUGET, IL 62206-2822
Phone: (618) 332-0953 Fax:
Organization Subpart
No
Authorized Official
LARRY MCCULLEY
PRESIDENT/CEO
Phone: (618) 332-0694
Updated
Certification Date
Nov 03, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
207RI0011X
- Internal Medicine / Interventional Cardiology
207RC0000X
- Internal Medicine / Cardiovascular Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.