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Southern Illinois Healthcare Foundation, Inc

Federally Qualified Health Center (FQHC) in Mattoon, IL · enumerated 2012 · authorized official Larry Mcculley, President/Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023371143

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Healthcare Foundation, Inc
Other name <Unavail>
Practice address 911 Remington Rd Ste B, Mattoon, IL, 61938
Phone (217) 234-3091
Fax (217) 234-3094
Enumeration date Jun 22, 2012
Last updated in NPPES Mar 1, 2024

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Secondary
1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Larry Mcculley
Title President/Ceo
Phone (618) 332-0694

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-01. Verify at npiregistry.cms.hhs.gov.
Where is Southern Illinois Healthcare Foundation, Inc located?
The practice location on file with NPPES is in Mattoon, IL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-01.