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: November 01, 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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charleston 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 Charleston Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 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
Mental Health Counselor
NPI 1801430988
626 W LINCOLN AVE
Charleston, IL 61920
(217) 345-7702
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1841726379
911 REMINGTON RD STE B
Mattoon, IL 61938
(217) 923-3311
✔ PECOS8.6 mi
Nurse Practitioner
NPI 1083339642
911 REMINGTON RD STE B
Mattoon, IL 61938
(217) 234-3091
✔ PECOS✔ Accepts Medicare8.6 mi
Nurse Practitioner
NPI 1194270603
911 REMINGTON RD STE B
Mattoon, IL 61938
(217) 234-3091
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1356401335
302 NORTH MILL STREET
Greenup, IL 62428
(217) 923-3311
✔ PECOS✔ Accepts Medicare16 mi
Nurse Practitioner
NPI 1356999262
1710 STATE ROUTE 133
Arthur, IL 61911
(217) 543-2446
✔ PECOS✔ Accepts Medicare23 mi
Clinical Social Worker
NPI 1942721295
900 W TEMPLE AVE STE 208
Effingham, IL 62401
(217) 342-0211
✔ PECOS32 mi
Nurse Practitioner
NPI 1790332450
900 W TEMPLE AVE STE 208
Effingham, IL 62401
(217) 342-0211
✔ PECOS✔ Accepts Medicare32 mi
Clinical Social Worker
NPI 1184001380
900 W TEMPLE AVE STE 208
Effingham, IL 62401
(217) 342-0211
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1336959568
900 W TEMPLE AVE STE 208
Effingham, IL 62401
(618) 332-0953
✔ PECOS✔ Accepts Medicare32 mi
Psychiatry
NPI 1134649932
206 N RANDOLPH ST STE 2
Champaign, IL 61820
(833) 351-8255
✔ PECOS✔ Accepts Medicare44 mi
Nurse Practitioner
NPI 1912250432
1120 N EAST ST
Olney, IL 62450
(618) 395-5222
✔ PECOS✔ Accepts Medicare54 mi
Internal Medicine
NPI 1750495792
1120 N EAST ST
Olney, IL 62450
(618) 395-5222
✔ PECOS✔ Accepts Medicare54 mi
Obstetrics/Gynecology
NPI 1225046253
1200 N EAST ST
Olney, IL 62450
(618) 395-5222
✔ PECOS54 mi
Psychiatry
NPI 1194460691
121 BUNTIN ST
Vincennes, IN 47591
(812) 885-3228
✔ PECOS65 mi
Internal Medicine
NPI 1154542132
1275 HAWTHORN RD
Salem, IL 62881
(618) 548-4545
✔ PECOS✔ Accepts Medicare72 mi
Obstetrics/Gynecology
NPI 1265499271
1120 N EAST ST
Olney, IL 62450
(618) 395-5222
✔ PECOS✔ Accepts Medicare73 mi
Family Practice
NPI 1316984057
520 N 4TH ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare82 mi
Mental Health Counselor
NPI 1033406269
101 S LOCUST ST
Centralia, IL 62801
(618) 533-1391
✔ PECOS✔ Accepts Medicare84 mi
Internal Medicine
NPI 1053504506
12860 TROXLER AVE
Highland, IL 62249
(618) 651-2810
✔ PECOS✔ Accepts Medicare95 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 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.

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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Health plans from Ambetter Health, Ambetter Health of Delaware and Medica 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.