Southern Illinois Healthcare Foundation Inc
NPI 1609813500 · Federally Qualified Health Center (FQHC) · Centreville, IL
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Illinois Healthcare Foundation Inc is a Federally Qualified Health Center (FQHC) organization in Centreville, IL (NPI 1609813500).
Provider details
- NPI number
- 1609813500
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Mcculley, Chief Executive Officer(618) 332-0694
Specialties & taxonomies
Ambulatory Health Care Facilities
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Dentist122300000X
Dental Providers
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Pediatric Pulmonology Physician2080P0214X
Allopathic & Osteopathic Physicians
- Pediatric Cardiology Physician2080P0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Centreville Health Center
Registry dates
- Enumerated
- 2006-05-31
- Last updated
- 2016-05-26
Frequently asked questions
- What is Southern Illinois Healthcare Foundation Inc's NPI number?
- Southern Illinois Healthcare Foundation Inc's National Provider Identifier (NPI) is 1609813500, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Healthcare Foundation Inc?
- Southern Illinois Healthcare Foundation Inc is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Southern Illinois Healthcare Foundation Inc located?
- Southern Illinois Healthcare Foundation Inc's practice location on file with NPPES is 6000 Bond Ave, Centreville, IL 62207-2328.
- What is Southern Illinois Healthcare Foundation Inc's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Healthcare Foundation Inc is (618) 332-2740.
- Does Southern Illinois Healthcare Foundation Inc accept Medicare?
- Southern Illinois Healthcare Foundation Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Illinois Healthcare Foundation Inc?
- The authorized official listed on Southern Illinois Healthcare Foundation Inc's NPPES record is Larry Mcculley, Chief Executive Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Healthcare Foundation Inc's NPI active?
- Yes — Southern Illinois Healthcare Foundation Inc's NPI (1609813500) is active in the NPPES registry as of the last update on 2016-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.