GOOD SAMARITAN HEALTH CENTER
NPI 1346402062
Clinic/Center - Federally Qualified Health Center (FQHC) in Alton, 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 June 25, 2008

815 E 5TH ST, ALTON, IL 62002(618) 397-3303(618) 397-7802 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Good Samaritan Health Center NPPES

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

GOOD SAMARITAN HEALTH CENTER (NPI 1346402062) is a healthcare organization registered as a federally qualified health center (fqhc) in Alton, Illinois and active in the NPI registry since June 2008. The organization lists Larry Mcculley, President, as its authorized official.

NPPES Registry Identity

NPI1346402062

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address815 E 5TH STAlton, IL 62002-6471

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

Phone(618) 397-3303

Fax(618) 397-7802

Organization SubpartNo

Authorized OfficialLarry McculleyPresident · (618) 332-0694

Enumeration DateJune 25, 2008

Last NPPES UpdateJuly 22, 2009

✔ NPI 1346402062 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

815 E 5TH ST, Alton, IL 62002

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Other Names 1

Doing Business AsGood Samaritan Health Center

Other Identifiers 3

Other14-1089IL · Ngs Medicare

Other732740IL · Wps Medicare Part B

Medicaid=========052IL

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

Other Providers at the Same Location NPPES 17

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

LEA ANNE VARBLE LCSW

Social Worker (Clinical)

815 E 5TH ST, SUITE 101
ALTON, IL 62002

Madison County (618) 463-5278

DR. KELLY ANN BOGOWITH PT

Physical Therapist

815 E 5TH ST, SUITE A, OUTPATIENT REHABILITATION SERVICES
ALTON, IL 62002

Madison County (618) 463-5344

RACHEL E REYNOLDS PT

Physical Therapist

815 E 5TH ST
ALTON, IL 62002

Madison County (618) 463-5171

KIRSTIN FISCHER DPT

Physical Therapist

815 E 5TH ST
ALTON, IL 62002

Madison County (618) 463-5171

DR. RANDALL J CRAMMOND D.M.D.

Dentist (Oral and Maxillofacial Surgery)

815 E 5TH ST, SUITE 411
ALTON, IL 62002

Madison County (618) 462-1646

DR. VICTOR HIDALGO M.D.

Family Medicine

815 E 5TH ST, 202
ALTON, IL 62002

Madison County (618) 462-4939

JAN R GREEN LCSW

Social Worker (Clinical)

815 E 5TH ST
ALTON, IL 62002

Madison County (618) 474-6244

MANPREET KAUR SANDHU M.D.

Internal Medicine (Hematology & Oncology)

815 E 5TH ST, SUITE 303
ALTON, IL 62002

Madison County (618) 474-4855

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 1346402062. It was assigned to this organization in the NPPES registry on June 25, 2008. The provider is doing business as Good Samaritan Health Center.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 815 E 5th St, Alton, IL 62002. 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.

When was this NPI record last updated?

The NPPES record for Southern Illinois Healthcare Foundation, Inc. was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.