MILLSTADT MEDICAL CLINIC
NPI 1811236458
Clinic/Center - Federally Qualified Health Center (FQHC) in Millstadt, IL
About Millstadt Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MILLSTADT MEDICAL CLINIC (NPI 1811236458) is a healthcare organization registered as a federally qualified health center (fqhc) in Millstadt, Illinois and active in the NPI registry since February 2013. The organization lists Larry Mcculley, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Millstadt Medical Clinic 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 Millstadt Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 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 1811236458. It was assigned to this organization in the NPPES registry on February 1, 2013. The provider is doing business as Millstadt Medical Clinic.
Where is Southern Illinois Healthcare Foundation, Inc located?
Southern Illinois Healthcare Foundation, Inc is located at 60 Regency Pl, Millstadt, IL 62260. The listed phone number is (618) 476-9177.
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 31 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 February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Millstadt Medical Clinic · NPI 1811236458
Federally Qualified Health Center (FQHC) organization in Millstadt, Illinois. Organization record, active in the CMS NPPES registry since February 1, 2013.
## Identity
- **NPI:** 1811236458 (Entity type: Organization)
- **Enumerated:** February 1, 2013
- **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, CEO
## Practice location
- **Address:** 60 REGENCY PL, Millstadt, IL 62260-2210
- **Phone:** (618) 476-9177 · **Fax:** (618) 476-1890
## 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 31 within 10 miles; [full list](https://npiprofile.com/npi/1811236458/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 1, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1811236458) · Data from the CMS NPPES public registry.