Southern Illinois Healthcare Foundation, Inc.
NPI 1811054935 · Federally Qualified Health Center (FQHC) · East Saint Louis, 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 East Saint Louis, IL (NPI 1811054935).
Provider details
- NPI number
- 1811054935
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Larry Mcculley, Chief Operating Officer(618) 332-0783
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- State Street Center
Registry dates
- Enumerated
- 2007-01-02
- Last updated
- 2008-10-30
Frequently asked questions
- What is Southern Illinois Healthcare Foundation, Inc.'s NPI number?
- Southern Illinois Healthcare Foundation, Inc.'s National Provider Identifier (NPI) is 1811054935, 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 2001 State St, East Saint Louis, IL 62205-1803.
- 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) 271-9191.
- 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 Operating 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 (1811054935) is active in the NPPES registry as of the last update on 2008-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.