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CH053320 SIHF Healthcare (Active)
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Main Details
Name
SIHF Healthcare
Subdivision Name
SIHF Healthcare
Type
HRSA-Funded Health Center
Site ID
BPS-H80-003510
340B ID
CH053320
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
7/1/2001
Participating Start Date
7/1/2001
Participating Approval Date
9/30/2004
Last Recertification Date
2/26/2025
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
2041 Goose Lake Rd,
Sauget, IL 62206-2822
Billing Address
Same as Street Address
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.
04/24/2012
April 2025
April 2025
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