Active NPI
Southern Illinois Healthcare Foundation Inc
Doing business as SIHF Healthcare
- Federally Qualified Health Center (FQHC)
- Belleville, IL
National Provider Identifier
1982446076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
- Doing business as
- SIHF Healthcare
- Practice address
- 180 S 3Rd St Ste 200
Belleville, IL 62220-1952 - Phone
- (618) 213-7943
- Fax
- (618) 213-7944
- NPI assigned
- Jun 10, 2024
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry McCulley
- Title
- Ceo
- Phone
- (618) 332-0694
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | ||
| Family Medicine Physician | 207Q00000X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Physician Assistant | 363A00000X | NU | ||
| Nurse Practitioner | 363L00000X | NU |
Addresses
Primary practice location
180 S 3Rd St Ste 200
Belleville, IL 62220-1952
Mailing address
2041 Goose Lake Rd
Sauget, IL 62206-2822
Phone (618) 332-0953
Other names 2
- SIHF Healthcare
- SIHF Healthcare - Belleville Circle II
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031126000641 | IL | Part B Supplier - Clinic/Group Practice | 1456256874 |
Receives reassigned benefits from 170 practitioners This NPI is an additional NPI on the enrollment Practice locations: East Saint Louis, IL; Effingham, IL; Fairmont City, IL; Glen Carbon, IL; Granite City, IL; Greenup, IL; Mattoon, IL; Millstadt, IL… |
| O20240805000037 | IL | Part A Provider - Federally Qualified Health Center (FQHC) | 1456256874 | Practice locations: Belleville, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1982446076. Details of each certification follow.
Federally qualified health center certification: CCN C41030
- Legal name
- SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
- Doing business as
- SIHF HEALTHCARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 26, 2024
- Last certification
- Jun 26, 2024
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Sep 27, 1985 in IL
- Enrollment address
- 311 W Lincoln St
Ste 200
Belleville, IL 62220-1902
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 12
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Walter Hunter | Corporate Director | Feb 1, 2008 | |
| Gerard Hasenstab | Corporate Director | Jan 1, 2019 | |
| Dale Fiedler | Corporate Director | Jan 1, 2020 | |
| Debra Reed | Corporate Director | Jan 1, 2021 | |
| Larry W McCulley | Corporate Officer | Feb 1, 2004 | |
| Kenneth Hall | Corporate Director | Apr 1, 2015 | |
| Zoila Marty | Corporate Director | Aug 1, 2005 | |
| Ethel Manager | Corporate Director | Apr 1, 1996 | |
| Daniel Winkle | W-2 Managing Employee | May 1, 2025 | |
| Anna Marie Nelson | Corporate Director | Jul 1, 2009 | |
| Richard Sinclair | Corporate Director | Jul 1, 2006 | |
| Irma Golliday | Corporate Director | Jul 1, 1999 |
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Touchette Regional Hospital Inc | Hospital | Operational/Managerial Control | Jun 30, 2009 |
| Touchette Regional Hospital Inc | Hospital | Operational/Managerial Control | Jun 30, 2009 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1982446076",
"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",
"fax_number": "618-332-2487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 S 3RD ST STE 200",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622201952",
"telephone_number": "618-213-7943",
"fax_number": "618-213-7944"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-10",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"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"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SIHF Healthcare",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "SIHF Healthcare - Belleville Circle II",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Belleville, IL
- Southern Illinois Health Care Foundation, Inc. (SIHF Healthcare - InstaCare Belleville)
- Southern Illinois Health Care Foundation, Inc. (Belleville Family Health Center)
- Southern Illinois Health Care Foundation, Inc. (SIHF Healthcare Pharmacy)
- Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
- Southern Illinois Healthcare Foundation Inc (SIHF Healthcare)
- Southern Illinois Healthcare Foundation, Inc (West Belleville Health Center)
- Southern Illinois Healthcare Foundation, Inc. (Sihf Hilltop Center Facility)
- Southern Illinois Healthcare Foundation, Inc. (Illini Family Medicine)
- Southern Illinois Healthcare Foundation, Inc. (Belleville Pediatric & Adolescent Health Center)
- Southern Illinois Healthcare Foundation, Inc. (SIHF Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.