CHARLESTON HEALTH CENTER
NPI 1487070835
Clinic/Center - Federally Qualified Health Center (FQHC) in Charleston, IL

Active since March 10, 2014
626 W LINCOLN AVE, CHARLESTON, IL 61920(217) 345-7702(217) 345-7705 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Charleston Health Center NPPES

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

CHARLESTON HEALTH CENTER (NPI 1487070835) is a healthcare organization registered as a federally qualified health center (fqhc) in Charleston, Illinois and active in the NPI registry since March 2014. The organization lists Larry Mcculley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487070835
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Location Address626 W LINCOLN AVECharleston, IL 61920-2444
Mailing Address2041 Goose Lake RdSauget, IL 62206-2822 · (618) 332-0953 · Fax (618) 332-2487
Fax(217) 345-7705
Organization SubpartNo
Authorized OfficialLarry McculleyCeo · (618) 332-0694
Enumeration DateMarch 10, 2014
Last NPPES UpdateJune 2, 2016
NPI 1487070835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedDentistTaxonomy 122300000X
Also ListedFamily MedicineTaxonomy 207Q00000X
626 W LINCOLN AVE, Charleston, IL 61920

Other Names 1

Doing Business AsCharleston Health Center

Other Identifiers 2

Medicare OSCAR/certification781814IL
Medicaid=========071IL

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

Other Providers at the Same Location NPPES 2

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

Physician Assistant
626 W LINCOLN AVE
CHARLESTON, IL 61920
Counselor (Mental Health)
626 W LINCOLN AVE
CHARLESTON, IL 61920

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 1487070835. It was assigned to this organization in the NPPES registry on March 10, 2014. The provider is doing business as Charleston Health Center.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 626 W Lincoln Ave, Charleston, IL 61920. The listed phone number is (217) 345-7702.

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.

What insurance does Southern Illinois Healthcare Foundation, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Southern Illinois Healthcare Foundation, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Illinois Healthcare Foundation, Inc. was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.