SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. (NPI# 1376589226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376589226 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. |
| Other Organization Name | SIHF HEALTHCARE |
| Practice Address |
4 Memorial Dr Ste 210 Alton IL 62002 |
| Mailing Address |
2041 Goose Lake Rd Sauget IL 62206-2822 |
| Practice Telephone | 6184635905 |
| Mailing Telephone | 6183320953 |
| Mailing Fax Number | 6183322487 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-08-16 |
| Authorized Official Name | MR. LARRY MCCULLEY (PRESIDENT/CEO) |
| Authorized Official Telephone | 6183320694 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | WPS MEDICARE GROUP NUMBER | 732740 | 01 |
| Other Name | Type Code |
|---|---|
| Alton Health Center | Doing Business As Name - Organization |
| SIHF Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358647 | Southern Illinois Health Care Foundation, Inc. | Case Manager/Care Coordinator | 2041 Goose Lake Rd, Sauget, IL 62206-2822 | 2018-09-06 |
| 1508301706 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1710 State Route 133, Arthur, IL 61911 | 2016-12-23 |
| 1750530424 | Southern Illinois Health Care Foundation, Inc. | Counselor | 1215 Vandalia Avenue, Collinsville, IL 62234 | 2008-09-17 |
| 1780609578 | Southern Illinois Health Care Foundation, Inc. | Counselor | 180 S 3rd St Ste 103&104, Belleville, IL 62220 | 2006-07-13 |
| 1225556996 | Southern Illinois Health Care Foundation, Inc. | Counselor | 3 Saint Elizabeth Blvd Ste 4000, O Fallon, IL 62269-1099 | 2017-09-01 |
| 1942510508 | Southern Illinois Health Care Foundation, Inc. | Family Medicine | 505 S 8th St, East Saint Louis, IL 62201 | 2010-10-18 |
| Street Address |
4 MEMORIAL DR STE 210 |
| City | ALTON |
| State | IL |
| Zip Code | 62002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417502253 | Laura L Novack | Nurse Practitioner | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2019-08-08 |
| 1467005009 | Stephanie I O'brian | Nurse Practitioner | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2019-07-23 |
| 1861841454 | Rutendo Nkomo | Pediatrics | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2016-06-06 |
| 1053714998 | Sharon Jameson | Registered Nurse | 4 Memorial Dr Ste 210, Alton, IL 62002 | 2014-10-07 |
| 1053714329 | Christal Gabrielson | Counselor | 4 Memorial Dr Ste 210, Alton, IL 62002 | 2014-10-01 |
| 1093060584 | Jamie Hardman | Obstetrics & Gynecology | 4 Memorial Dr Ste 210, Alton, IL 62002 | 2012-07-20 |
| 1255613014 | Charity Anne Thompson | Counselor | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2011-09-16 |
| 1144413691 | Sambasivam Suthan | Internal Medicine | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2007-08-18 |
| 1053503045 | Bryan Everett Steele | Family Medicine | 4 Memorial Dr Ste 210, Alton, IL 62002 | 2007-08-14 |
| 1902004203 | Sunil Gangwani | Psychiatry & Neurology | 4 Memorial Dr Ste 210, Alton, IL 62002-6751 | 2007-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1316374556 | Nuestra Clinica Del Valle Inc | Clinic/Center | 201 S Los Ebanos Rd, Alton, TX 78573 | 2013-10-02 |
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| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.