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CH05332DC SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (Active)
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Main Details
Name
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
Subdivision Name
SIHF Healthcare – Alton Circle
Type
HRSA-Funded Health Center
Site ID
BPS-H80-036536
340B ID
CH05332DC
Grant Number
H80CS00195
Additional Details
Current Program Status
Active
Registration Date
10/13/2023
Participating Start Date
1/1/2024
Participating Approval Date
10/19/2023
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
2 Saint Anthonys Way STE 101
Alton, IL 62002-4532
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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