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

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: November 01, 2026.

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
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

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Good Samaritan Health 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 Good Samaritan Health Center, which bills Medicare for the services they deliver. Of these, 20 practice 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
Family Practice
NPI 1891365391
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1467005009
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1841446473
2 MEMORIAL DR STE 220
Alton, IL 62002
(618) 433-7901
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1124612445
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1184081556
4 MEMORIAL DR # 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.5 mi
Pediatric Medicine
NPI 1902909492
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-0649
✔ PECOS0.6 mi
Neurology
NPI 1487768917
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1689100083
1 PROFESSIONAL DR
Alton, IL 62002
(314) 996-4545
✔ PECOS✔ Accepts Medicare0.6 mi
Obstetrics/Gynecology
NPI 1174619225
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.6 mi
Mental Health Counselor
NPI 1053714329
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare0.9 mi
Obstetrics/Gynecology
NPI 1093060584
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1053714998
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 465-8829
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1053503045
4 MEMORIAL DR STE 210
Alton, IL 62002
(618) 463-5905
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1942561683
1 MEMORIAL DR
Alton, IL 62002
(618) 463-7474
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1841842341
2615 EDWARDS ST STE 171
Alton, IL 62002
(618) 462-4342
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1457624108
108 NORTHPORT DR
Alton, IL 62002
(618) 466-0295
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1679163372
2 TERMINAL DR STE 8
East Alton, IL 62024
(618) 259-0365
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1124473046
2 TERMINAL DR SUITE 8
East Alton, IL 62024
(618) 258-0485
✔ PECOS✔ Accepts Medicare6.2 mi
Clinical Social Worker
NPI 1861967200
2 TERMINAL DR STE 8
East Alton, IL 62024
(618) 259-0365
✔ PECOS6.2 mi
Pediatric Medicine
NPI 1255350252
2 TERMINAL DR SUITE 8
East Alton, IL 62024
(618) 259-1419
✔ PECOS6.2 mi
See all 164 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Southern Illinois Healthcare Foundation, Inc. enrolled in Medicare?

Yes. Southern Illinois Healthcare Foundation, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Illinois Healthcare Foundation, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 15 Medicare specialties reassign their Medicare billing to Southern Illinois Healthcare Foundation, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (57), Family Practice (43) and Internal Medicine (16). Of these, 20 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.