FAIRMONT CITY HEALTH CENTER
NPI 1770648917
Clinic/Center - Federally Qualified Health Center (FQHC) in East Saint Louis, IL
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
Specialties & Licenses 3
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)
Fairmont City 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 Fairmont City Health Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 55 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.
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.
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, 1 practice at this address and 55 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Illinois Healthcare Foundation, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica 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.
# Fairmont City Health Center · NPI 1770648917
Federally Qualified Health Center (FQHC) organization in East Saint Louis, Illinois. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1770648917 (Entity type: Organization)
- **Enumerated:** December 27, 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, PRESIDENT
## Practice location
- **Address:** 2568 N 41ST ST, East Saint Louis, IL 62201-2204
- **Phone:** (618) 482-4015 · **Fax:** (618) 482-4806
## 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); 1 practice at this address and 55 within 10 miles; [full list](https://npiprofile.com/npi/1770648917/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2009
- **Other identifiers:** Medicare ID-Type Unspecified 141976 (IL); Medicare ID-Type Unspecified 732740 (IL); Medicaid =========028 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1770648917) · Data from the CMS NPPES public registry.