SALEM MEDICAL CENTER
NPI 1376588848
Clinic/Center - Federally Qualified Health Center (FQHC) in Salem, 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 18, 2006

1275 HAWTHORN RD, SALEM, IL 62881(618) 548-4545(618) 548-4577 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Salem Medical Center NPPES

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

SALEM MEDICAL CENTER (NPI 1376588848) is a healthcare organization registered as a federally qualified health center (fqhc) in Salem, Illinois and active in the NPI registry since June 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1376588848

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address1275 HAWTHORN RDSalem, IL 62881-1028

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

Phone(618) 548-4545

Fax(618) 548-4577

Organization SubpartNo

Authorized OfficialLarry McculleyChief Operating Officer · (618) 332-0783

Enumeration DateJune 18, 2006

Last NPPES UpdateApril 20, 2008

✔ NPI 1376588848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

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

Taxonomy Code261QF0400X

Also ListedDentistTaxonomy 122300000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedGeneral PracticeTaxonomy 208D00000X

1275 HAWTHORN RD, Salem, IL 62881

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Other Names 1

Doing Business AsSalem Medical Center

Other Identifiers 3

Medicare ID-Type Unspecified141919IL

Medicaid=========016IL

Other201518IL · Wps Medicare Group Number

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 ›

Other Providers at the Same Location NPPES 11

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

DR. SETH HAHS MD

Internal Medicine