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SIHF PSR CLUB HOUSE FACILITY
NPI 1821277658
Clinic/Center - Federally Qualified Health Center (FQHC) in Granite City, IL

Active since October 29, 2007
2057 EDISON AVE, SUITE A, GRANITE CITY, IL 62040(618) 397-3303(618) 397-7802 Get Directions Write a Review

NPPES record last updated: October 29, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sihf Psr Club House Facility NPPES

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

SIHF PSR CLUB HOUSE FACILITY (NPI 1821277658) is a healthcare organization registered as a federally qualified health center (fqhc) in Granite City, Illinois and active in the NPI registry since October 2007. The organization lists Larry Mcculley, Coo, as its authorized official.

NPPES Registry Identity

NPI1821277658
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Location Address2057 EDISON AVE, SUITE AGranite City, IL 62040-4514
Mailing Address8080 State StEast Saint Louis, IL 62203-1808 · (618) 397-3303 · Fax (618) 397-7802
Phone(618) 397-3303
Fax(618) 397-7802
Organization SubpartNo
Authorized OfficialLarry McculleyCoo · (618) 332-0694
Enumeration DateOctober 29, 2007
✔ NPI 1821277658 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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
2057 EDISON AVE, Granite City, IL 62040
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Other Names 1

Doing Business AsSihf Psr Club House Facility

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

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 1821277658. It was assigned to this organization in the NPPES registry on October 29, 2007. The provider is doing business as Sihf Psr Club House Facility.

Where is Southern Illinois Healthcare Foundation, Inc. located?

Southern Illinois Healthcare Foundation, Inc. is located at 2057 Edison Ave Suite A, Granite City, IL 62040. The listed phone number is (618) 397-3303.

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.

When was this NPI record last updated?

The NPPES record for Southern Illinois Healthcare Foundation, Inc. was last updated on October 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.