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BETHALTO HEALTH CENTER
NPI 1487719860
Clinic/Center - Federally Qualified Health Center (FQHC) in East Alton, IL

Active since December 26, 2006
2 TERMINAL DR, SUITE 8, EAST ALTON, IL 62024(618) 258-0485(618) 258-0489 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bethalto Health Center NPPES

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

BETHALTO HEALTH CENTER (NPI 1487719860) is a healthcare organization registered as a federally qualified health center (fqhc) in East Alton, Illinois and active in the NPI registry since December 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1487719860
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Location Address2 TERMINAL DR, SUITE 8East Alton, IL 62024-2268
Mailing Address8080 State StEast Saint Louis, IL 62203-1808 · (618) 397-3303 · Fax (618) 397-7802
Phone(618) 258-0485
Fax(618) 258-0489
Organization SubpartNo
Authorized OfficialLarry McculleyChief Operating Officer · (618) 332-0783
Enumeration DateDecember 26, 2006
Last NPPES UpdateApril 20, 2008
✔ NPI 1487719860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ 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 ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse PractitionerTaxonomy 363L00000X
2 TERMINAL DR, East Alton, IL 62024
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Other Names 1

Doing Business AsBethalto Health Center

Other Identifiers 3

Medicare ID-Type Unspecified732740IL · Wps Medicare
Medicare ID-Type Unspecified141895IL · Ugs Medicare
Medicaid=========023IL

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 and more.Insurance ›

Other Providers at the Same Location NPPES 15

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

MRS. REBECCA LEE COALSON DMD
Dentist
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 259-1419
DR. SOONTORN THRUPKAEW MD
Obstetrics & Gynecology
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 258-0485
MRS. VICTORIA L DAWDY DMD
Dentist (General Practice)
2 TERMINAL DR, STE 16
EAST ALTON, IL 62024
Madison County (618) 259-8923
DR. FEI-TUNG LEU MD
Pediatrics
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 259-1419
DR. ANTHONY B CHIN D.M.D.
Dentist
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 258-8460
MS. GRETCHEN D JACKSON LCPC
Counselor (Professional)
2 TERMINAL DR, SUITE 8
EAST ALTON, IL 62024
Madison County (618) 258-0485
DR. JACOB FUNK D.C.
Chiropractor
2 TERMINAL DR, SUITE 15
EAST ALTON, IL 62024
Madison County (618) 258-8610
AFFIANCE HOME HEALTH SERVICES, LLC
Home Health
2 TERMINAL DR, SUITE 19
EAST ALTON, IL 62024
Madison County (618) 258-1500

Frequently Asked Questions

What is SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.'s NPI number?

The NPI number assigned to this healthcare provider is 1487719860, enumerated as an "organization" on December 26, 2006.

Where is the provider located?

The provider is located at 2 TERMINAL DR SUITE 8 EAST ALTON, IL 62024 and the phone number is (618) 258-0485.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. accept?

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.