FAIRMONT CITY HEALTH CENTER
NPI 1770648917
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 December 27, 2006

2568 N 41ST ST, EAST SAINT LOUIS, IL 62201(618) 482-4015(618) 482-4806 Get Directions Write a Review

NPPES record last updated: July 29, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Fairmont City Health Center NPPES

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

FAIRMONT CITY HEALTH CENTER (NPI 1770648917) is a healthcare organization registered as a federally qualified health center (fqhc) in East Saint Louis, Illinois and active in the NPI registry since December 2006. The organization lists Larry Mcculley, President, as its authorized official.

NPPES Registry Identity

NPI1770648917

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.

Location Address2568 N 41ST STEast Saint Louis, IL 62201-2204

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

Phone(618) 482-4015

Fax(618) 482-4806

Organization SubpartNo

Authorized OfficialLarry McculleyPresident · (618) 332-0783

Enumeration DateDecember 27, 2006

Last NPPES UpdateJuly 29, 2009

✔ NPI 1770648917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code261QF0400X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

2568 N 41ST ST, East Saint Louis, IL 62201

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Other Names 1

Doing Business AsFairmont City Health Center

Other Identifiers 3

Medicare ID-Type Unspecified141976IL · Ugs Medicare

Medicare ID-Type Unspecified732740IL · Wps Medicare

Medicaid=========028IL

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.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 1770648917. It was assigned to this organization in the NPPES registry on December 27, 2006. The provider is doing business as Fairmont City Health Center.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 2568 N 41st St, East Saint Louis, IL 62201. The listed phone number is (618) 482-4015.

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.

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 July 29, 2009. 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.