SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
NPI 1689739062
Nurse Practitioner - School in Cahokia, IL

Q: What is Southern Illinois Healthcare Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

Active since December 26, 2006

800 RANGE LN, CAHOKIA, IL 62206(618) 337-3117(618) 337-3122 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Southern Illinois Healthcare Foundation, Inc. NPPES

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

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (NPI 1689739062), doing business as Cahokia School Based Center, is a healthcare organization registered as a school in Cahokia, Illinois and active in the NPI registry since December 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1689739062

Entity TypeOrganization

Primary Taxonomy363LS0200X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address800 RANGE LNCahokia, IL 62206-2022

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

Phone(618) 337-3117

Fax(618) 337-3122

Organization SubpartNo

Authorized OfficialLarry McculleyChief Operating Officer · (618) 332-0783

Enumeration DateDecember 26, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1689739062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LS0200X

Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X

800 RANGE LN, Cahokia, IL 62206

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Other Names 1

Doing Business AsCahokia School Based Center

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.Insurance ›

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 1689739062. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Cahokia School Based Center.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 800 Range Ln, Cahokia, IL 62206. The listed phone number is (618) 337-3117.

What is Southern Illinois Healthcare Foundation, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

What insurance does Southern Illinois Healthcare Foundation, Inc. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health 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 September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.