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CENTREVILLE HEALTH CENTER
NPI 1609813500
Clinic/Center - Federally Qualified Health Center (FQHC) in Centreville, IL

Active since May 31, 2006CLIA 14D0433913 · Microscopy
6000 BOND AVE, CENTREVILLE, IL 62207(618) 332-2740(618) 332-8755 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centreville Health Center NPPES

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

CENTREVILLE HEALTH CENTER (NPI 1609813500) is a healthcare organization registered as a federally qualified health center (fqhc) in Centreville, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Larry Mcculley, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1609813500
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Location Address6000 BOND AVECentreville, IL 62207-2328
Mailing Address2041 Goose Lake RdSauget, IL 62206-2822 · (618) 332-0953 · Fax (618) 397-7802
Phone(618) 332-2740
Fax(618) 332-8755
Organization SubpartNo
Authorized OfficialLarry McculleyChief Executive Officer · (618) 332-0694
Enumeration DateMay 31, 2006
Last NPPES UpdateMay 26, 2016
✔ NPI 1609813500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ 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 ListedPediatricsTaxonomy 208000000X
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X
Also ListedPediatrics · Pediatric Hematology-OncologyTaxonomy 2080P0207X
Also ListedPediatrics · Pediatric PulmonologyTaxonomy 2080P0214X
Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X
6000 BOND AVE, Centreville, IL 62207
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Other Names 1

Doing Business AsCentreville Health Center

Other Identifiers 3

Medicaid=========005IL
Medicare PIN732740IL
Medicare OSCAR/certification141856IL

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0433913

S I H F Centreville Health Center · Centreville, IL
Active · expires Aug 31, 2026
CLIA Number14D0433913
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDolores J. Gunn
Laboratory Phone(618) 332-2740
Laboratory LocationS I H F Centreville Health Center6000 Bond Ave, Centreville, IL 62207
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

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

CAROLYN M. BOOTH PA
Physician Assistant
6000 BOND AVE
EAST SAINT LOUIS, IL 62207
St. Clair County (618) 332-2740
DR. EMMA C CLARDY DO
Family Medicine
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 337-8153
MRS. TYLER D THURMAN LCPC
Counselor (Professional)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2083
BHAWNA SHARMA M.D
Psychiatry & Neurology (Psychiatry)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2083
MS. BONNIE J SUMMERS NP
Nurse Practitioner
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2740
SYLVIA A. FLORIAN CNP
Nurse Practitioner
6000 BOND AVE
EAST SAINT LOUIS, IL 62207
St. Clair County (618) 332-2740
DONNA MARIE MEYERS APN
Clinical Nurse Specialist (Perinatal)
6000 BOND AVE
CENTREVILLE, IL 62207
St. Clair County (618) 332-2740
DR. YOHANNES GHIDEY MD
Pediatrics
6000 BOND AVE
EAST SAINT LOUIS, IL 62207
St. Clair County (618) 332-2740

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 1609813500. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as Centreville Health Center.

Where is Southern Illinois Healthcare Foundation Inc located?

Southern Illinois Healthcare Foundation Inc is located at 6000 Bond Ave, Centreville, IL 62207. The listed phone number is (618) 332-2740.

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.

Does Southern Illinois Healthcare Foundation Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0433913) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Illinois Healthcare Foundation Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare 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 May 26, 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.