340B Drug Pricing Program Database

Name

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION (SIHF)

Subdivision Name

SIHF ADULT CARE CENTER

Type

Ryan White Part C

340B ID

HV05332D

Grant Number

H76HA00579

Current Program Status

Terminated

Registration Date

7/1/2005

Participating Start Date

7/1/2005

Participating Approval Date

6/9/2005

Last Recertification Date

1/26/2017

Time Period the Assistance was Received

Termination Date
Termination Reason

4/1/2017
Site closure

Authorizing Official

SIHF Healthcare
Larry McCulley, President
(618) 332-0694 Ext: 155

Primary Contact

SIHF Healthcare
Larry Mayhew, Program Manager
(618) 646-2527

Street Address

6000 BOND AVENUE
CENTREVILLE, IL 62207

Billing Address

SOUTHERN ILLINOIS HEALTHCARE FOUNDATION
Ryan White 340B Program
100 N. 8th Street, Suite 238
EAST ST LOUIS, IL 62201