OrganizationActive
Southern Illinois Healthcare Foundation, Inc.
NPI 1255880647 · Federally Qualified Health Center (FQHC) · Belleville, IL
Provider details
- NPI number
- 1255880647
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Mcculley, Ceo(618) 332-0694
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2900 Frank Scott Pkwy W
Suite 980
Belleville, IL 62223-5000
Phone: (618) 397-3303
Street-level locationGet directions
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Other names (DBA / former)
- Doing business as
- Illini Family Medicine
Registry dates
- Enumerated
- 2016-09-26
- Last updated
- 2016-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.