Public record

CMS Federally Qualified Health Center All Owners

Associate id: 1456256874 · 50 matching records

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0749356194
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-03-01
First name - owner: WALTER
Last name - owner: HUNTER

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 3678478864
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2003-11-01
First name - owner: JAMES
Middle name - owner: F
Last name - owner: SPINNER

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4688579873
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2010-04-01
First name - owner: LARRY
Middle name - owner: W
Last name - owner: MCCULLEY
Title - owner: CEO

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4880851773
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2019-04-01
First name - owner: KENNETH
Last name - owner: HALL

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5193811214
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2005-09-01
First name - owner: ZOILA
Last name - owner: MARTY

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5294630489
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2001-03-01
First name - owner: GENO
Last name - owner: BROSMAN

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 6204731490
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1996-05-01
First name - owner: ETHEL
Last name - owner: MANAGER

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 7517987977
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2007-11-01
First name - owner: MARTHA
Last name - owner: WARFORD

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8123153459
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-01-01
First name - owner: ANNA
Middle name - owner: MARIE
Last name - owner: NELSON

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8628164332
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2006-08-01
First name - owner: RICHARD
Last name - owner: SINCLAIR

Enrollment id: O20060208000832
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 9931004124
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1999-08-01
First name - owner: IRMA
Last name - owner: GOLLIDAY

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0749356194
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-03-01
First name - owner: WALTER
Last name - owner: HUNTER

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 3678478864
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2008-01-01
First name - owner: JAMES
Middle name - owner: F
Last name - owner: SPINNER

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4688579873
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2010-04-01
First name - owner: LARRY
Middle name - owner: W
Last name - owner: MCCULLEY
Title - owner: CHIEF EXECUTIVE OFFICER

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4880851773
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2019-04-01
First name - owner: KENNETH
Last name - owner: HALL

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5193811214
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-01-01
First name - owner: ZOILA
Last name - owner: MARTY

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5294630489
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-01-01
First name - owner: GENO
Last name - owner: BROSMAN

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 6204731490
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-01-01
First name - owner: ETHEL
Last name - owner: MANAGER

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 7517987977
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2007-11-01
First name - owner: MARTHA
Last name - owner: WARFORD

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8123153459
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-01-01
First name - owner: ANNA
Middle name - owner: MARIE
Last name - owner: NELSON

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8628164332
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-01-01
First name - owner: RICHARD
Last name - owner: SINCLAIR

Enrollment id: O20071227000556
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 9931004124
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-01-01
First name - owner: IRMA
Last name - owner: GOLLIDAY

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0749356194
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-03-01
First name - owner: WALTER
Last name - owner: HUNTER

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 3678478864
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 1998-10-12
First name - owner: JAMES
Middle name - owner: F
Last name - owner: SPINNER

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4688579873
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2010-04-01
First name - owner: LARRY
Middle name - owner: W
Last name - owner: MCCULLEY
Title - owner: CEO

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4880851773
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2019-04-01
First name - owner: KENNETH
Last name - owner: HALL

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5193811214
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2005-09-01
First name - owner: ZOILA
Last name - owner: MARTY

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5294630489
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2001-03-01
First name - owner: GENO
Last name - owner: BROSMAN

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 6204731490
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1996-05-01
First name - owner: ETHEL
Last name - owner: MANAGER

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 7517987977
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2007-11-01
First name - owner: MARTHA
Last name - owner: WARFORD

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8123153459
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-01-01
First name - owner: ANNA
Middle name - owner: MARIE
Last name - owner: NELSON

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8628164332
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2006-08-01
First name - owner: RICHARD
Last name - owner: SINCLAIR

Enrollment id: O20081029000867
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 9931004124
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1999-08-01
First name - owner: IRMA
Last name - owner: GOLLIDAY

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0143733980
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2024-04-22
First name - owner: PERCY
Last name - owner: MCKINNEY

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0749356194
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-03-01
First name - owner: WALTER
Last name - owner: HUNTER

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 1254760390
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2022-01-01
First name - owner: GERARD
Last name - owner: HASENSTAB

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 2163851205
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2022-01-01
First name - owner: DALE
Last name - owner: FIEDLER

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 2668702622
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2022-01-01
First name - owner: DEBRA
Last name - owner: REED

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4688579873
Type - owner: I
Role code - owner: 40
Role text - owner: CORPORATE OFFICER
Association date - owner: 2010-04-01
First name - owner: LARRY
Middle name - owner: W
Last name - owner: MCCULLEY
Title - owner: CEO

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 4880851773
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2018-10-01
First name - owner: KENNETH
Last name - owner: HALL

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 5193811214
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2005-09-01
First name - owner: ZOILA
Last name - owner: MARTY

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 6204731490
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1996-05-01
First name - owner: ETHEL
Last name - owner: MANAGER

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 7416460258
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-02-01
First name - owner: CRYSTEN
Last name - owner: CALVERT

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 7618482555
Type - owner: I
Role code - owner: 42
Role text - owner: W-2 MANAGING EMPLOYEE
Association date - owner: 2025-01-01
First name - owner: DANIEL
Last name - owner: WINKLE

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8123153459
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2010-01-01
First name - owner: ANNA
Middle name - owner: MARIE
Last name - owner: NELSON

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 8628164332
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2006-08-01
First name - owner: RICHARD
Last name - owner: SINCLAIR

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 9234642075
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2023-01-01
First name - owner: DARREL
Last name - owner: STERLING

Enrollment id: O20081029000897
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 9931004124
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 1999-08-01
First name - owner: IRMA
Last name - owner: GOLLIDAY

Enrollment id: O20081029000941
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0143733980
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2024-04-22
First name - owner: PERCY
Last name - owner: MCKINNEY

Enrollment id: O20081029000941
Associate id: 1456256874
Organization name: SOUTHERN ILLINOIS HEALTHCARE FOUNDATION INC
Associate id - owner: 0749356194
Type - owner: I
Role code - owner: 41
Role text - owner: CORPORATE DIRECTOR
Association date - owner: 2008-03-01
First name - owner: WALTER
Last name - owner: HUNTER

Showing the first 50 matching records.

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