ADULT CARE CENTER
NPI 1306902945
Clinic/Center - Federally Qualified Health Center (FQHC) in East Saint Louis, 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 December 28, 2006

6010 BOND AVE, EAST SAINT LOUIS, IL 62207(618) 337-8153(618) 337-8905 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Adult Care Center NPPES

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

ADULT CARE CENTER (NPI 1306902945) is a healthcare organization registered as a federally qualified health center (fqhc) in East Saint Louis, Illinois and active in the NPI registry since December 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1306902945

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address6010 BOND AVEEast Saint Louis, IL 62207-2328

Mailing Address8080 State StEast Saint Louis, IL 62203-1808 · (618) 397-3303 · Fax (618) 397-7802

Phone(618) 337-8153

Fax(618) 337-8905

Organization SubpartNo

Authorized OfficialLarry McculleyChief Operating Officer · (618) 332-0694

Enumeration DateDecember 28, 2006

Last NPPES UpdateOctober 30, 2008

✔ NPI 1306902945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

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

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

6010 BOND AVE, East Saint Louis, IL 62207

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Other Names 1

Doing Business AsAdult Care Center

Other Identifiers 3

Medicare ID-Type Unspecified732740IL · Wps Medicare

Medicaid=========002IL

Medicare ID-Type Unspecified141832IL · Ugs Medicare

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adult Care Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

164

Medicare enrollment records show 164 clinicians reassign Medicare billing to Adult Care Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Nurse Practitioner57

Family Practice43

Internal Medicine16

Psychiatry12

Clinical Social Worker9

Mental Health Counselor6

Obstetrics/Gynecology5

Cardiovascular Disease (Cardiology)3

7 other specialties13

Nearest to this location (20)

See all 164

Alfred Johnson, MD

Family Practice

NPI 1144316431

6010 BOND AVE
East Saint Louis, IL 62207

(618) 337-8153

✔ PECOS✔ Accepts MedicareSame address

Emma Clardy, DO

Family Practice

NPI 1043847734

6000 BOND AVE
Centreville, IL 62207

(618) 337-8153