Whalio Doctors

NPI 1225556996

Southern Illinois Healthcare Foundation INC

Organisation Federally Qualified Health Center (FQHC) O Fallon, IL

Practice location

Address
3 Saint Elizabeth Blvd STE 4000, O Fallon, IL 62269-1099
Phone
(618) 233-5480
Mailing address
2041 Goose Lake Rd, Sauget, IL 62206-2822

Authorised official

Name
Larry McCulley
Title
Ceo
Phone
(618) 332-0694

Registered specialties (6)

Federally Qualified Health Center (FQHC) Primary
Ambulatory Health Care Facilities Taxonomy 261QF0400X
Professional Counselor
Behavioral Health & Social Service Providers Taxonomy 101YP2500X
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Obstetrics & Gynecology Physician
Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Registry record

NPI
1225556996
Entity type
Organization
NPI issued
1 Sep 2017
Record last updated
27 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.