CHRISTIAN ACTIVITY HEALTH CENTER
NPI 1619127289
Clinic/Center - Federally Qualified Health Center (FQHC) in East Saint Louis, IL

Q: 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.

Active since September 19, 2008

540 N 6TH ST, EAST SAINT LOUIS, IL 62201(618) 397-3303(618) 397-3303 Get Directions Write a Review

NPPES record last updated: September 19, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Christian Activity Health Center NPPES

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

CHRISTIAN ACTIVITY HEALTH CENTER (NPI 1619127289) is a healthcare organization registered as a federally qualified health center (fqhc) in East Saint Louis, Illinois and active in the NPI registry since September 2008. The organization lists Larry Mcculley, Coo, as its authorized official.

NPPES Registry Identity

NPI1619127289

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC

Location Address540 N 6TH STEast Saint Louis, IL 62201-1320

Mailing Address8080 State StEast Saint Louis, IL 62203-1808 · (618) 397-3303 · Fax (618) 397-7802

Phone(618) 397-3303

Fax(618) 397-3303

Organization SubpartNo

Authorized OfficialLarry McculleyCoo · (618) 332-0694

Enumeration DateSeptember 19, 2008

✔ NPI 1619127289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

540 N 6TH ST, East Saint Louis, IL 62201

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Other Names 1

Doing Business AsChristian Activity Health Center

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

Other Providers at the Same Location NPPES

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

MRS. DESTINY D. KHARSI LCSW

Social Worker (Clinical)

540 N 6TH ST
EAST SAINT LOUIS, IL 62201

St. Clair County (618) 875-9815

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 1619127289. It was assigned to this organization in the NPPES registry on September 19, 2008. The provider is doing business as Christian Activity Health Center.

Where is Southern Illinois Healthcare Foundation Inc located?

Southern Illinois Healthcare Foundation Inc is located at 540 N 6th St, East Saint Louis, IL 62201. The listed phone number is (618) 397-3303.

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.

When was this NPI record last updated?

The NPPES record for Southern Illinois Healthcare Foundation Inc was last updated on September 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.