Southern Illinois Health Care Foundation, Inc.
Organization Active NPI Case Management Agency · Sauget, IL
NPI 1609358647 · NPPES record last updated Dec 7, 2018
Key facts
- NPI
- 1609358647
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.
- Practice address
- 2041 Goose Lake Rd
Sauget, IL 62206-2822 - Phone
- (618) 332-0953
- NPI assigned
- Sep 6, 2018
- Organization subpart
- No
Authorized official
- Name
- Mr. Larry McCulley
- Title
- Ceo
- Phone
- (618) 332-0694
Corporate family (same tax ID) 37
National Provider Directory
- Tax ID family
- Southern Illinois Hthca
Locations
4 Memorial Dr
Ste 210
Alton, IL 62002
Phone (618) 463-5905
2810 Frank Scott Pkwy W
Belleville, IL 62223
Phone (618) 236-6336
180 S 3rd St
Belleville, IL 62220
Phone (618) 233-5480
818 Upper Cahokia Rd
East Saint Louis, IL 62206
Phone (618) 337-2597
1510 Sunset Dr
Vandalia, IL 62471
Phone (618) 283-3144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator |
171M00000X | |||
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
2041 Goose Lake Rd
Sauget, IL 62206-2822
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 332-0953
Other practice location 1
7210 W Main St
Belleville, IL 62223-3038
Phone (618) 398-8840
Other practice location 2
2166 Madison Ave
Granite City, IL 62040-4700
Phone (618) 452-3301
Other practice location 3
2568 N 41st St
Fairmont City, IL 62201-2211
Phone (618) 482-4015
Other practice location 4
100 N 8th St
East Saint Louis, IL 62201-2989
Phone (618) 274-9105
Other practice location 5
900 W Temple Ave Ste 208
Effingham, IL 62401-2187
Phone (217) 342-0211
Other practice location 6
302 N Mill St
Greenup, IL 62428-1062
Phone (217) 923-3311
Other practice location 7
1215 Vandalia St
Collinsville, IL 62234-4060
Phone (618) 343-6015
Other practice location 8
144 S Washington St
Bunker Hill, IL 62014-1316
Phone (618) 585-6290
Other practice location 9
2071 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 857-2702
Other practice location 10
824 Locust St
Red Bud, IL 62278-1209
Phone (618) 282-6656
Other practice location 11
2615 Edwards St
Alton, IL 62002-3915
Phone (618) 462-4342
Other practice location 12
2810 Frank Scott Pkwy W
Belleville, IL 62223-5007
Phone (618) 236-6336
Other practice location 13
626 W Lincoln Ave
Charleston, IL 61920-2444
Phone (217) 345-7702
Other practice location 14
700 Broadway Ave E Ste 39
Mattoon, IL 61938-4662
Phone (217) 234-3091
Other practice location 15
1200 N East St
Olney, IL 62450-2432
Phone (618) 395-5222
Other practice location 16
2900 Frank Scott Pkwy W Ste 980
Belleville, IL 62223-5000
Phone (618) 234-9200
Other practice location 17
750 Broadway Ave E
Mattoon, IL 61938-4610
Phone (618) 238-5700
Other practice location 18
525 N Vine St
Arthur, IL 61911-1130
Phone (217) 543-2446
Other practice location 19
3214 N Illinois St
Swansea, IL 62226-2330
Phone (618) 233-0742
Other practice location 20
3 Saint Elizabeth Blvd Ste 4000
O Fallon, IL 62269-1284
Phone (618) 233-5480
Other practice location 21
505 S 8th St
East Saint Louis, IL 62201-2919
Phone (618) 482-7330
Other practice location 22
818 Upper Cahokia Rd
Cahokia, IL 62206-1212
Phone (618) 337-2597
Other practice location 23
2001 State St
East Saint Louis, IL 62205-1803
Phone (618) 271-9191
Other practice location 24
60 Regency Pl
Millstadt, IL 62260-2210
Phone (618) 476-3373
Other practice location 25
2900 Frank Scott Pkwy W
Belleville, IL 62223-5000
Phone (618) 233-3205
Other practice location 26
180 S 3rd St
Belleville, IL 62220-1952
Phone (618) 233-5480
Other practice location 27
4 Memorial Dr Ste 210
Alton, IL 62002-6751
Phone (618) 463-5905
Other practice location 28
2 Terminal Dr Ste 8
East Alton, IL 62024-2294
Phone (618) 258-0485
Other practice location 29
1510 Sunset Dr
Vandalia, IL 62471-3228
Phone (618) 283-3144
Other practice location 30
1275 Hawthorn Rd
Salem, IL 62881-1028
Phone (618) 548-4545
Other practice location 31
6000 Bond Ave
Centreville, IL 62207-2328
Phone (618) 332-2740
Other names
- SIHF Healthcare
NPI Registry JSON
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1544140800000",
"number": "1609358647",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 GOOSE LAKE RD",
"city": "SAUGET",
"state": "IL",
"postal_code": "622062822",
"telephone_number": "618-332-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 GOOSE LAKE RD",
"city": "SAUGET",
"state": "IL",
"postal_code": "622062822",
"telephone_number": "618-332-0953"
}
],
"practiceLocations": [
{
"address_1": "7210 W Main St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622233038",
"country_code": "US",
"telephone_number": "618-398-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2166 Madison Ave",
"address_purpose": "LOCATION",
"city": "Granite City",
"state": "IL",
"postal_code": "620404700",
"country_code": "US",
"telephone_number": "618-452-3301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2568 N 41st St",
"address_purpose": "LOCATION",
"city": "Fairmont City",
"state": "IL",
"postal_code": "622012211",
"country_code": "US",
"telephone_number": "618-482-4015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 N 8th St",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622012989",
"country_code": "US",
"telephone_number": "618-274-9105",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 W Temple Ave Ste 208",
"address_purpose": "LOCATION",
"city": "Effingham",
"state": "IL",
"postal_code": "624012187",
"country_code": "US",
"telephone_number": "217-342-0211",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "302 N Mill St",
"address_purpose": "LOCATION",
"city": "Greenup",
"state": "IL",
"postal_code": "624281062",
"country_code": "US",
"telephone_number": "217-923-3311",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1215 Vandalia St",
"address_purpose": "LOCATION",
"city": "Collinsville",
"state": "IL",
"postal_code": "622344060",
"country_code": "US",
"telephone_number": "618-343-6015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "144 S Washington St",
"address_purpose": "LOCATION",
"city": "Bunker Hill",
"state": "IL",
"postal_code": "620141316",
"country_code": "US",
"telephone_number": "618-585-6290",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2071 Goose Lake Rd",
"address_purpose": "LOCATION",
"city": "Sauget",
"state": "IL",
"postal_code": "622062822",
"country_code": "US",
"telephone_number": "618-857-2702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "824 Locust St",
"address_purpose": "LOCATION",
"city": "Red Bud",
"state": "IL",
"postal_code": "622781209",
"country_code": "US",
"telephone_number": "618-282-6656",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2615 Edwards St",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620023915",
"country_code": "US",
"telephone_number": "618-462-4342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2810 Frank Scott Pkwy W",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622235007",
"country_code": "US",
"telephone_number": "618-236-6336",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "626 W Lincoln Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "IL",
"postal_code": "619202444",
"country_code": "US",
"telephone_number": "217-345-7702",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 Broadway Ave E Ste 39",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384662",
"country_code": "US",
"telephone_number": "217-234-3091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1200 N East St",
"address_purpose": "LOCATION",
"city": "Olney",
"state": "IL",
"postal_code": "624502432",
"country_code": "US",
"telephone_number": "618-395-5222",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Frank Scott Pkwy W Ste 980",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622235000",
"country_code": "US",
"telephone_number": "618-234-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Broadway Ave E",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384610",
"country_code": "US",
"telephone_number": "618-238-5700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "525 N Vine St",
"address_purpose": "LOCATION",
"city": "Arthur",
"state": "IL",
"postal_code": "619111130",
"country_code": "US",
"telephone_number": "217-543-2446",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3214 N Illinois St",
"address_purpose": "LOCATION",
"city": "Swansea",
"state": "IL",
"postal_code": "622262330",
"country_code": "US",
"telephone_number": "618-233-0742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3 Saint Elizabeth Blvd Ste 4000",
"address_purpose": "LOCATION",
"city": "O Fallon",
"state": "IL",
"postal_code": "622691284",
"country_code": "US",
"telephone_number": "618-233-5480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 S 8th St",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622012919",
"country_code": "US",
"telephone_number": "618-482-7330",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "818 Upper Cahokia Rd",
"address_purpose": "LOCATION",
"city": "Cahokia",
"state": "IL",
"postal_code": "622061212",
"country_code": "US",
"telephone_number": "618-337-2597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2001 State St",
"address_purpose": "LOCATION",
"city": "East Saint Louis",
"state": "IL",
"postal_code": "622051803",
"country_code": "US",
"telephone_number": "618-271-9191",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "60 Regency Pl",
"address_purpose": "LOCATION",
"city": "Millstadt",
"state": "IL",
"postal_code": "622602210",
"country_code": "US",
"telephone_number": "618-476-3373",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2900 Frank Scott Pkwy W",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622235000",
"country_code": "US",
"telephone_number": "618-233-3205",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 S 3rd St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201952",
"country_code": "US",
"telephone_number": "618-233-5480",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4 Memorial Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620026751",
"country_code": "US",
"telephone_number": "618-463-5905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2 Terminal Dr Ste 8",
"address_purpose": "LOCATION",
"city": "East Alton",
"state": "IL",
"postal_code": "620242294",
"country_code": "US",
"telephone_number": "618-258-0485",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1510 Sunset Dr",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "IL",
"postal_code": "624713228",
"country_code": "US",
"telephone_number": "618-283-3144",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1275 Hawthorn Rd",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "IL",
"postal_code": "628811028",
"country_code": "US",
"telephone_number": "618-548-4545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6000 Bond Ave",
"address_purpose": "LOCATION",
"city": "Centreville",
"state": "IL",
"postal_code": "622072328",
"country_code": "US",
"telephone_number": "618-332-2740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SOUTHERN ILLINOIS HEALTH CARE FOUNDATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-06",
"last_updated": "2018-12-07",
"status": "A",
"authorized_official_last_name": "MCCULLEY",
"authorized_official_first_name": "LARRY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "618-332-0694",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SIHF Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SIHF Healthcare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sauget, IL
- Starr'Retiece R Gibson
- Pillpack LLC
- R&R 1 LLC
- Renal Treatment Centers-Illinois Inc
- Michael Riley Jr.
- Southern Illinois Healthcare Foundation, Inc.
- Southern Illinois Healthcare Foundation, Inc.
- Southern Illinois Healthcare Foundation, Inc.
All providers in Sauget, IL · Case Management Agency in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.