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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

1538449509

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Healthcare Foundation, Inc
Other name <Unavail>
Practice address 5900 Bond Ave, Centreville, IL, 62207
Fax (618) 332-2487
Enumeration date Aug 23, 2011
Last updated in NPPES Aug 23, 2011

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-08-23. Verify at npiregistry.cms.hhs.gov.
Where is Southern Illinois Healthcare Foundation, Inc located?
The practice location on file with NPPES is in Centreville, IL.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-08-23.