MILLSTADT MEDICAL CLINIC
NPI 1811236458
Clinic/Center - Federally Qualified Health Center (FQHC) in Millstadt, 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 February 01, 2013

60 REGENCY PL, MILLSTADT, IL 62260(618) 476-9177(618) 476-1890 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

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

NPI1811236458

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC

Location Address60 REGENCY PLMillstadt, IL 62260-2210

Mailing Address2041 Goose Lake RdSauget, IL 62206-2822 · (618) 332-0953 · Fax (618) 332-2487

Phone(618) 476-9177

Fax(618) 476-1890

Organization SubpartNo

Authorized OfficialLarry McculleyCeo · (618) 332-0694

Enumeration DateFebruary 1, 2013

✔ NPI 1811236458 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 ListedFamily MedicineTaxonomy 207Q00000X

60 REGENCY PL, Millstadt, IL 62260

Open in Google Maps ↗

Other Names 1

Doing Business AsMillstadt Medical Clinic

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 ›

Other Providers at the Same Location NPPES 5

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

DR. ALANA C THOMPSON-BYRD MD

Family Medicine