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Southern Illinois Healthcare Foundation, Inc

Federally Qualified Health Center (FQHC) in East St Louis, IL · enumerated 2006 · authorized official Larry Mcculley, President.

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

National Provider Identifier

1831125038

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Registry record

Entity type Organization (Type 2)
Legal business name Southern Illinois Healthcare Foundation, Inc
Other name <Unavail>
Practice address 100 N 8th St, East St Louis, IL, 62201
Phone (618) 274-9105
Fax (618) 274-9101
Enumeration date Jun 23, 2006
Last updated in NPPES Jul 29, 2009

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Secondary
261QF0400X Federally Qualified Health Center (FQHC) Ambulatory Health Care Facilities Primary
363LW0102X Women's Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Larry Mcculley
Title President
Phone (618) 332-0783

Other identifiers

Identifier Type State Issuer
732740 Other IL WPS MEDICARE

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

Where is Southern Illinois Healthcare Foundation, Inc located?
The practice location on file with NPPES is in East St Louis, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2009-07-29. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-07-29.