ILLINI FAMILY MEDICINE
NPI 1255880647
Clinic/Center - Federally Qualified Health Center (FQHC) in Belleville, IL

Q: What is Southern Illinois Healthcare Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since September 26, 2016CLIA 14D0698997 · Waiver

2900 FRANK SCOTT PKWY W, SUITE 980, BELLEVILLE, IL 62223(618) 397-3303 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Illini Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILLINI FAMILY MEDICINE (NPI 1255880647) is a healthcare organization registered as a federally qualified health center (fqhc) in Belleville, Illinois and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Larry Mcculley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1255880647

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address2900 FRANK SCOTT PKWY W, SUITE 980Belleville, IL 62223-5000

Mailing Address2041 Goose Lake RdSauget, IL 62206-2822 · (618) 332-0953

Phone(618) 397-3303

Organization SubpartNo

Authorized OfficialLarry McculleyCeo · (618) 332-0694

Enumeration DateSeptember 26, 2016

✔ NPI 1255880647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

2900 FRANK SCOTT PKWY W, Belleville, IL 62223

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Other Names 1

Doing Business AsIllini Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0698997

Illini Family Medicine · Belleville, IL

Active · expires Aug 31, 2026

CLIA Number14D0698997

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorAristides J. Garces

Laboratory Phone(618) 234-9200

Laboratory LocationIllini Family Medicine2900 Frank Scott Parkway West Suite 980, Belleville, IL 62223

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN SUE ENDICOTT MSW, LCSW

Social Worker (Clinical)

2900 FRANK SCOTT PKWY W, SUITE 956
BELLEVILLE, IL 62223

St. Clair County (618) 233-3273

ELDON TRAME M.D.

Internal Medicine

2900 FRANK SCOTT PKWY W, SUITE 904
BELLEVILLE, IL 62223

St. Clair County (618) 234-0640

MS. RUDABA KHALID PT

Physical Therapist

2900 FRANK SCOTT PKWY W
BELLEVILLE, IL 62223

St. Clair County (618) 607-5103

WOMAN TO WOMAN, P.C.

Obstetrics & Gynecology

2900 FRANK SCOTT PKWY W, SUITE 908
BELLEVILLE, IL 62223

St. Clair County (618) 236-7555

SOUTHERN ILLINOIS OTOLARYNGOLOGY, LTD

Otolaryngology

2900 FRANK SCOTT PKWY W, SUITE 930
BELLEVILLE, IL 62223

St. Clair County (618) 235-8082

DR. AMANDA M HART DPM

Podiatrist (Foot & Ankle Surgery)

2900 FRANK SCOTT PKWY W, SUITE 900
BELLEVILLE, IL 62223

St. Clair County (618) 277-5700

CHRISTINA M ANSHUS DC

Chiropractor

2900 FRANK SCOTT PKWY W, 908
BELLEVILLE, IL 62223

St. Clair County (618) 236-3600

MS. CAROL A. STERLING M.A.

Counselor (Mental Health)

2900 FRANK SCOTT PKWY W, SUITE 956-A
BELLEVILLE, IL 62223

St. Clair County (618) 624-5796

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Healthcare Foundation, Inc.'s NPI number?

The NPI number for Southern Illinois Healthcare Foundation, Inc. is 1255880647. It was assigned to this organization in the NPPES registry on September 26, 2016. The provider is doing business as Illini Family Medicine.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 2900 Frank Scott Pkwy W Suite 980, Belleville, IL 62223. The listed phone number is (618) 397-3303.

What is Southern Illinois Healthcare Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Southern Illinois Healthcare Foundation, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0698997) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Illinois Healthcare Foundation, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Southern Illinois Healthcare Foundation, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Illinois Healthcare Foundation, Inc. was last updated on September 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.