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CH05332AK SIHF Healthcare (Active)
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Main Details
Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare - Belleville Pediatrics
Type
HRSA-Funded Health Center
Site ID
BPS-H80-001962
340B ID
CH05332AK
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
10/1/2004
Participating Start Date
10/1/2004
Participating Approval Date
9/30/2004
Last Recertification Date
2/22/2025
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
2900 Frank Scott Pkwy W - Suite 950
Belleville, IL 62223-5000
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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4/24/12 Change contact name from EDGAR BRANCH. NEW SITE 10/01/2004
04/24/2012
NEW SITE 10/01/2004
08/11/2005
May 2025
May 2025
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