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DELMAR DENTAL CENTER
NPI 1619150174
Clinic/Center - Federally Qualified Health Center (FQHC) in Granite City, IL

Active since December 07, 2007
1820 DELMAR AVE, GRANITE CITY, IL 62040(618) 877-4489(618) 877-4487 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Delmar Dental Center NPPES

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

DELMAR DENTAL CENTER (NPI 1619150174) is a healthcare organization registered as a federally qualified health center (fqhc) in Granite City, Illinois and active in the NPI registry since December 2007. The organization lists Larry Mcculley, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1619150174
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Location Address1820 DELMAR AVEGranite City, IL 62040-4507
Mailing Address8080 State StEast Saint Louis, IL 62203-1808 · (618) 397-3303 · Fax (618) 397-3303
Phone(618) 877-4489
Fax(618) 877-4487
Organization SubpartNo
Authorized OfficialLarry McculleyChief Executive Officer · (618) 332-0649
Enumeration DateDecember 7, 2007
Last NPPES UpdateApril 12, 2011
✔ NPI 1619150174 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 ListedDentistTaxonomy 122300000X
1820 DELMAR AVE, Granite City, IL 62040
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Other Names 1

Doing Business AsDelmar Dental Center

Other Identifiers 1

Medicaid=========051IL

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 2

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

DR. GARY M. LINDSAY DMD
Dentist
1820 DELMAR AVE
GRANITE CITY, IL 62040
Madison County (618) 877-4488
ALBERT WILLLIAM TRTANJ DDS
Dentist
1820 DELMAR AVE
GRANITE CITY, IL 62040
Madison County (618) 877-4488

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 1619150174. It was assigned to this organization in the NPPES registry on December 7, 2007. The provider is doing business as Delmar Dental Center.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 1820 Delmar Ave, Granite City, IL 62040. The listed phone number is (618) 877-4489.

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 April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.