OrganizationActive
Southern Illinois Healthcare Foundation, Inc
NPI 1811236458 · Federally Qualified Health Center (FQHC) · Millstadt, IL
Provider details
- NPI number
- 1811236458
- 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
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
60 Regency Pl
Millstadt, IL 62260-2210
Phone: (618) 476-9177
Fax: (618) 476-1890
Street-level locationGet directions
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Other names (DBA / former)
- Doing business as
- Millstadt Medical Clinic
Registry dates
- Enumerated
- 2013-02-01
- Last updated
- 2013-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.