FAMILY CARE CENTER
NPI 1467482968
Clinic/Center - Federally Qualified Health Center (FQHC) in Sauget, 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 July 03, 2006

2071 GOOSE LAKE RD, SAUGET, IL 62206(618) 332-5369(618) 337-9482 Get Directions Write a Review

NPPES record last updated: October 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Family Care Center NPPES

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

FAMILY CARE CENTER (NPI 1467482968) is a healthcare organization registered as a federally qualified health center (fqhc) in Sauget, Illinois and active in the NPI registry since July 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1467482968

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address2071 GOOSE LAKE RDSauget, IL 62206-2822

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

Phone(618) 332-5369

Fax(618) 337-9482

Organization SubpartNo

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

Enumeration DateJuly 3, 2006

Last NPPES UpdateOctober 30, 2008

✔ NPI 1467482968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedInternal MedicineTaxonomy 207R00000X

2071 GOOSE LAKE RD, Sauget, IL 62206

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Other Names 1

Doing Business AsFamily Care Center

Other Identifiers 3

Medicaid=========007IL

Medicare ID-Type Unspecified141859IL

Other732740IL · Wps Medicare Group Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

STARR'RETIECE R GIBSON LICENSED DIETITIAN

Dietitian, Registered