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Southern Illinois Healthcare Foundation, Inc.

Federally Qualified Health Center (FQHC) in East Saint Louis, IL · enumerated 2006 · authorized official Larry Mcculley, Chief Operating Officer.

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

National Provider Identifier

1306902945

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Healthcare Foundation, Inc.
Other name <Unavail>
Practice address 6010 Bond Ave, East Saint Louis, IL, 62207
Phone (618) 337-8153
Fax (618) 337-8905
Enumeration date Dec 28, 2006
Last updated in NPPES Oct 30, 2008

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology 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 Chief Operating Officer
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

Who is the authorized official for Southern Illinois Healthcare Foundation, Inc.?
NPPES lists Larry Mcculley (Chief Operating Officer) as the authorized official for this organization.
What is the NPI number for Southern Illinois Healthcare Foundation, Inc.?
The NPI for Southern Illinois Healthcare Foundation, Inc. is 1306902945, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-10-30.