SIHF HEALTHCARE
Complete NPI Record 1609358647
Case Management in Sauget, IL
Active since September 06, 2018CLIA 14D2037143 · Microscopy
Complete NPI Dataset
This page contains the complete raw NPPES record for Sihf Healthcare (NPI 1609358647), a case management organization in Sauget, IL. All 31 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1609358647 Field 1/31
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/31
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/31
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC. Field 4/31
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: SIHF HEALTHCARE Field 5/31
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/31
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 2041 GOOSE LAKE RD Field 7/31
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: SAUGET Field 8/31
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: IL Field 9/31
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 622062822 Field 10/31
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/31
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6183320953 Field 12/31
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 2041 GOOSE LAKE RD Field 13/31
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: SAUGET Field 14/31
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: IL Field 15/31
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 622062822 Field 16/31
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 17/31
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 6183320953 Field 18/31
- The telephone number associated with the location address of the provider being identified.
- Authorized Official Last Name: MCCULLEY Field 21/31
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: LARRY Field 22/31
- The first name of the authorized official.
- Authorized Official Title or Position: CEO Field 23/31
- The title or position of the authorized official.
- Authorized Official Telephone Number: 6183320694 Field 24/31
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 171M00000X Field 25/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: N Field 26/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 251B00000X Field 27/31
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 2: Y Field 28/31
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: N Field 29/31
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Authorized Official Name Prefix Text: MR. Field 30/31
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP Field 31/31
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Secondary Practice Locations 31
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
2 Terminal Dr Ste 8
Location 1/31East Alton, IL 62024-2294 · Phone (618) 258-0485
1510 Sunset Dr
Location 2/31Vandalia, IL 62471-3228 · Phone (618) 283-3144
1275 Hawthorn Rd
Location 3/31Salem, IL 62881-1028 · Phone (618) 548-4545
7210 W Main St
Location 4/31Belleville, IL 62223-3038 · Phone (618) 398-8840
2166 Madison Ave
Location 5/31Granite City, IL 62040-4700 · Phone (618) 452-3301
2568 N 41st St
Location 6/31Fairmont City, IL 62201-2211 · Phone (618) 482-4015
100 N 8th St
Location 7/31East Saint Louis, IL 62201-2989 · Phone (618) 274-9105
900 W Temple Ave Ste 208
Location 8/31Effingham, IL 62401-2187 · Phone (217) 342-0211
302 N Mill St
Location 9/31Greenup, IL 62428-1062 · Phone (217) 923-3311
1215 Vandalia St
Location 10/31Collinsville, IL 62234-4060 · Phone (618) 343-6015
144 S Washington St
Location 11/31Bunker Hill, IL 62014-1316 · Phone (618) 585-6290
2071 Goose Lake Rd
Location 12/31Sauget, IL 62206-2822 · Phone (618) 857-2702
824 Locust St
Location 13/31Red Bud, IL 62278-1209 · Phone (618) 282-6656
2615 Edwards St
Location 14/31Alton, IL 62002-3915 · Phone (618) 462-4342
2810 Frank Scott Pkwy W
Location 15/31Belleville, IL 62223-5007 · Phone (618) 236-6336
626 W Lincoln Ave
Location 16/31Charleston, IL 61920-2444 · Phone (217) 345-7702
700 Broadway Ave E Ste 39
Location 17/31Mattoon, IL 61938-4662 · Phone (217) 234-3091
1200 N East St
Location 18/31Olney, IL 62450-2432 · Phone (618) 395-5222
2900 Frank Scott Pkwy W Ste 980
Location 19/31Belleville, IL 62223-5000 · Phone (618) 234-9200
750 Broadway Ave E
Location 20/31Mattoon, IL 61938-4610 · Phone (618) 238-5700
525 N Vine St
Location 21/31Arthur, IL 61911-1130 · Phone (217) 543-2446
3214 N Illinois St
Location 22/31Swansea, IL 62226-2330 · Phone (618) 233-0742
3 Saint Elizabeth Blvd Ste 4000
Location 23/31O Fallon, IL 62269-1284 · Phone (618) 233-5480
505 S 8th St
Location 24/31East Saint Louis, IL 62201-2919 · Phone (618) 482-7330
818 Upper Cahokia Rd
Location 25/31Cahokia, IL 62206-1212 · Phone (618) 337-2597
2001 State St
Location 26/31East Saint Louis, IL 62205-1803 · Phone (618) 271-9191
60 Regency Pl
Location 27/31Millstadt, IL 62260-2210 · Phone (618) 476-3373
2900 Frank Scott Pkwy W
Location 28/31Belleville, IL 62223-5000 · Phone (618) 233-3205
180 S 3rd St
Location 29/31Belleville, IL 62220-1952 · Phone (618) 233-5480
4 Memorial Dr Ste 210
Location 30/31Alton, IL 62002-6751 · Phone (618) 463-5905
6000 Bond Ave
Location 31/31Centreville, IL 62207-2328 · Phone (618) 332-2740
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