Southern Illinois Healthcare Foundation Inc
NPI 1619127289 · Federally Qualified Health Center (FQHC) · East Saint Louis, IL
Southern Illinois Healthcare Foundation Inc is a Federally Qualified Health Center (FQHC) organization in East Saint Louis, IL (NPI 1619127289).
Provider details
- NPI number
- 1619127289
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Mcculley, Coo(618) 332-0694
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- Christian Activity Health Center
Registry dates
- Enumerated
- 2008-09-19
- Last updated
- 2008-09-19
Frequently asked questions
- What is Southern Illinois Healthcare Foundation Inc's NPI number?
- Southern Illinois Healthcare Foundation Inc's National Provider Identifier (NPI) is 1619127289, 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 540 N 6th St, East Saint Louis, IL 62201-1320.
- 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) 397-3303.
- 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, Coo. 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 (1619127289) is active in the NPPES registry as of the last update on 2008-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.