Alton Health Center – Federally Qualified Health Center (FQHC), NPI 1376589226

Alton Health Center is a healthcare provider. based in Sauget, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Alton Health Center is 1376589226

Main info

Organization
Name
Alton Health Center
NPI
1376589226
Phone
(618) 332-0953
Address
2041 GOOSE LAKE RD
Authorized Official
MR. LARRY MCCULLEY PRESIDENT/CEO
Enumeration Date
21 June 2006
Last Update Date
16 August 2018
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Alton Health Center

  • Goose Lake, Sauget, Saint Clair County, Illinois, 62207, United States

    SAUGET, IL 622062822

    Phone: (618) 332-0953

    Fax: (618) 332-2487

    Type: Mailing

  • Memorial Drive, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 62002

    Phone: (618) 463-5905

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-05-31 (7 days ago).

Enrollment records

1

Earliest due date

2026-05-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20081029000941OFederally Qualified Health Center (Fqhc)IL2026-05-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62206)

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Reviews

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Frequently asked questions

Can I verify Alton Health Center with an NPI only?
You can start verification with NPI 1376589226 for Alton Health Center, then check state licensing separately.
Does CMS list Alton Health Center as active?
Yes — Alton Health Center is active in the NPI listing used on this page.
What is Alton Health Center best known for clinically?
Directory data describes Alton Health Center with Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Where is Alton Health Center based?
Alton Health Center is tied to Sauget, Illinois in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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