CENTREVILLE HEALTH CENTER
NPI 1609813500
Clinic/Center - Federally Qualified Health Center (FQHC) in Centreville, IL
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, 2028 and lists Larry Mcculley, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 10
Other Names 1
Other Identifiers 3
Group Practice 1
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)
Centreville Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
164Medicare enrollment records show 164 clinicians reassign Medicare billing to Centreville Health Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 164Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, ILFrequently 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.
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, 6 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 2028. 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, Medica 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.
# Centreville Health Center · NPI 1609813500
Federally Qualified Health Center (FQHC) organization in Centreville, Illinois. Organization record, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1609813500 (Entity type: Organization)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Southern Illinois Healthcare Foundation Inc
- **Organization subpart:** No
- **Authorized official:** Larry Mcculley, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 6000 BOND AVE, Centreville, IL 62207-2328
- **Phone:** (618) 332-2740 · **Fax:** (618) 332-8755
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 164 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (57), Family Practice (43), Internal Medicine (16); 6 practice at this address and 62 within 10 miles; [full list](https://npiprofile.com/npi/1609813500/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2016
- **Other identifiers:** Medicaid =========005 (IL); Medicare PIN 732740 (IL); Medicare OSCAR/certification 141856 (IL)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1609813500) · Data from the CMS NPPES public registry.