{"npi":"1508301706","type":"NPI-2","status":"active","name":{"display":"Southern Illinois Healthcare Foundation INC","other":[],"organization_name":"SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC","authorised_official":"Larry Mcculley"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"101YP2500X","description":"Professional Counselor","primary":false,"state":"IL","license":null},{"code":"1041C0700X","description":"Clinical Social Worker","primary":false,"state":"IL","license":null},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"IL","license":null},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IL","license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":"IL","license":null},{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1710 STATE ROUTE 133","city":"ARTHUR","state":"IL","postal_code":"61911","country_code":"US","phone":"2175432446","fax":"2175432548"},{"purpose":"MAILING","street_1":"2041 GOOSE LAKE RD","city":"SAUGET","state":"IL","postal_code":"622062822","country_code":"US","phone":"6183320694","fax":"6183322487"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170425000282","type_code":"00-04","type_desc":"PART A PROVIDER - FEDERALLY QUALIFIED HEALTH CENTER (FQHC)","state":"IL","pac_id":"1456256874"}]},"enumeration_date":"2016-12-23","last_updated":"2022-12-23","_meta":{"source":"NPPES","snapshot_date":"2022-12-23","doc_url":"https://findmynpi.com/api"}}