Southern Illinois Healthcare Foundation Inc

A Medicare group practice based in Belleville, IL: 54 NPIs enrolled under one PECOS associate control ID (PAC ID 1456256874), with 170 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1456256874The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
IL
Enrollments
36
Group size
117 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
72In 27 places

Enrollment records 36

Enrollment IDStateProvider typeNPI
O20140422000002 IL Part A Provider - Federally Qualified Health Center (FQHC) 1487070835
O20140820001464 IL Part A Provider - Federally Qualified Health Center (FQHC) 1376588871
O20171026001706 IL Part A Provider - Federally Qualified Health Center (FQHC) 1881145357
O20171026001503 IL Part A Provider - Federally Qualified Health Center (FQHC) 1225556996
O20170913000810 IL Part A Provider - Federally Qualified Health Center (FQHC) 1083162432
O20130308000481 IL Part A Provider - Federally Qualified Health Center (FQHC) 1811236458
O20121120000102 IL Part A Provider - Federally Qualified Health Center (FQHC) 1326392747
O20120806000072 IL Part A Provider - Federally Qualified Health Center (FQHC) 1023371143
O20121012000463 IL Part B Supplier - Pharmacy 1063767424
O20170425000282 IL Part A Provider - Federally Qualified Health Center (FQHC) 1508301706
O20160420001731 IL Part A Provider - Federally Qualified Health Center (FQHC) 1033573183
O20161018001776 IL Part A Provider - Federally Qualified Health Center (FQHC) 1255880647
O20240805000037 IL Part A Provider - Federally Qualified Health Center (FQHC) 1982446076
O20240925002886 IL Part A Provider - Federally Qualified Health Center (FQHC) 1962234070
O20230206001728 IL Part A Provider - Federally Qualified Health Center (FQHC) 1487882775
O20241207000017 IL Part A Provider - Federally Qualified Health Center (FQHC) 1821813247
O20240322002923 IL Part A Provider - Federally Qualified Health Center (FQHC) 1790548782
O20240416002738 IL Part A Provider - Federally Qualified Health Center (FQHC) 1356114029
O20240410001472 IL Part A Provider - Federally Qualified Health Center (FQHC) 1255104923
O20120220000066 IL Part A Provider - Federally Qualified Health Center (FQHC) 1679844468
O20100311000882 IL Part A Provider - Federally Qualified Health Center (FQHC) 1154651776
O20110311000451 IL Part A Provider - Federally Qualified Health Center (FQHC) 1235430323
O20110420000436 IL Part A Provider - Federally Qualified Health Center (FQHC) 1487719860
O20090326000134 IL Part A Provider - Federally Qualified Health Center (FQHC) 1326288143
O20081029000897 IL Part A Provider - Federally Qualified Health Center (FQHC) 1609813500
O20081029000867 IL Part A Provider - Federally Qualified Health Center (FQHC) 1811054935
O20081030000237 IL Part A Provider - Federally Qualified Health Center (FQHC) 1770648917
O20081030000255 IL Part A Provider - Federally Qualified Health Center (FQHC) 1831125038
O20081029000941 IL Part A Provider - Federally Qualified Health Center (FQHC) 1376589226
O20081029000945 IL Part A Provider - Federally Qualified Health Center (FQHC) 1376588848
O20081029000949 IL Part A Provider - Federally Qualified Health Center (FQHC) 1275561797
O20090716000602 IL Part A Provider - Federally Qualified Health Center (FQHC) 1750530424
O20090708000671 IL Part A Provider - Federally Qualified Health Center (FQHC) 1659506939
O20031126000641 IL Part B Supplier - Clinic/Group Practice 1609813500
O20060208000832 IL Part A Provider - Federally Qualified Health Center (FQHC) 1780609578
O20071227000556 IL Part A Provider - Federally Qualified Health Center (FQHC) 1346423803

NPIs in this group 54

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 170

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (170) or whom Care Compare lists as members (117).

Sources for this page