SIHF PSR FACILITY
NPI 1750562880
Clinic/Center - Federally Qualified Health Center (FQHC) in Granite City, IL

NPI Status: Active since November 16, 2007

Contact Information

2054 EDISON AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 397-3303
Fax: (618) 397-7802

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)

About SIHF PSR FACILITY

This page provides the complete NPI Profile along with additional information for Sihf Psr Facility, a primary care provider established in Granite City, Illinois operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1750562880 assigned on November 2007. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 18 years ago. Sihf Psr Facility operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Sihf Psr Facility. The authorized official of this NPI record is Mr. Larry Mcculley (Coo)

NPI
1750562880
Provider Legal Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Other Organization Name
SIHF PSR FACILITY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2054 EDISON AVE GRANITE CITY, IL 62040
Location Phone
(618) 397-3303
Location Fax
(618) 397-7802
Mailing Address
8080 STATE ST EAST SAINT LOUIS, IL 62203
Mailing Phone
(618) 397-3303
Mailing Fax
(618) 397-7802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-16-2007
Last Update Date
11-16-2007
Code Navigator

A primary care provider (PCP) like Sihf Psr Facility sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
22084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. LARRY MCCULLEY

Authorized Official Title
COO
Authorized Official Phone
(618) 332-0694

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750562880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001064816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 6 + 4 + 8 + 1 + 6 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1750562880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285912337CHESNUT HEALTH SYSTEM, INC.
Organization
Case Management2054 EDISON AVE
GRANITE CITY, IL 62040
(618) 452-7851

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750562880, enumerated in the NPI registry as an "organization" on November 16, 2007

The provider is located at 2054 Edison Ave Granite City, Il 62040 and the phone number is (618) 397-3303

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

This NPI record was last updated on November 16, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.