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Southern Illinois Healthcare Foundation Inc

Federally Qualified Health Center (FQHC) in Centreville, IL · enumerated 2011 · authorized official Larry Mcculley, Ceo.

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

National Provider Identifier

1497033948

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Healthcare Foundation Inc
Other name <Unavail>
Practice address 6000 Bond Ave, Centreville, IL, 62207
Enumeration date Aug 2, 2011
Last updated in NPPES Aug 31, 2021

Taxonomy & classification

101YP2500X Professional 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
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics 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 Ceo

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

What is the NPI number for Southern Illinois Healthcare Foundation Inc?
The NPI for Southern Illinois Healthcare Foundation Inc is 1497033948, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Southern Illinois Healthcare Foundation Inc?
NPPES lists Larry Mcculley (Ceo) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-08-31.