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CH05332DG SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (Active)
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Main Details
Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Subdivision Name
SIHF Healthcare - Dupo School
Type
HRSA-Funded Health Center
Site ID
BPS-H80-038263
340B ID
CH05332DG
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
7/12/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/12/2024
Last Recertification Date
2/27/2025
Contacts
Authorizing Official
SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155
Primary Contact
SIHF Healthcare
Patrice M Howard, Senior Vice President
(618) 332-0694
Addresses
Street Address
600 Louisa Ave
Dupo, IL 62239-1469
Billing Address
SIHF Healthcare
2041 Goose Lake Road
Sauget, IL 62206
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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