Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Southern Illinois Healthcare Foundation Inc

Organization Family Medicine Physician · NPI 1619127289

Southern Illinois Healthcare Foundation Inc provides Family Medicine Physician services in East Saint Louis, Illinois. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

540 N 6th St
East Saint Louis, IL 62201-1320 Not confirmed with CMS for 18 years — call before visiting
Phone: (618) 397-3303
Fax: (618) 397-3303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Federally Qualified Health Center (FQHC) (primary) Taxonomy 261QF0400X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1619127289
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Larry McCulley — Coo · (618) 332-0694
Other names Christian Activity Health Center
NPI enumeratedSeptember 19, 2008
Last updated in NPPESSeptember 19, 2008
Mailing address8080 State St, East Saint Louis, IL 62203-1808

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