Belleville Family Health Center – Federally Qualified Health Center (FQHC), NPI 1780609578

Belleville Family Health Center is a healthcare provider. based in Belleville, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Belleville Family Health Center is 1780609578

Main info

Organization
Name
Belleville Family Health Center
NPI
1780609578
Phone
(618) 233-5480
Address
180 S 3RD ST STE 103&104
Authorized Official
MR. LARRY MCCULLEY CHIEF OPERATING OFFICER
Enumeration Date
13 July 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

Provider Addresses for Belleville Family Health Center

  • 180 S 3RD ST STE 103&104

    BELLEVILLE, IL 62220

    Phone: (618) 233-5480

    Fax: (618) 233-4790

    Type: Location

  • 8080, State Street, Edgemont, East Saint Louis, Saint Clair County, Illinois, 62203, United States

    EAST SAINT LOUIS, IL 622031808

    Phone: (618) 397-3303

    Fax: (618) 397-7802

    Type: Mailing

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: 2006-02-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20060208000832OFederally Qualified Health Center (Fqhc)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 62220)

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Reviews

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Frequently asked questions

What is the standard ID for Belleville Family Health Center in the U.S.?
In the U.S., Belleville Family Health Center is identified by NPI 1780609578.
Is Belleville Family Health Center currently accepting referrals based on NPI status?
Registry metadata lists Belleville Family Health Center as active.
What does the directory say Belleville Family Health Center does?
Insurance directories may phrase it differently, but here Belleville Family Health Center maps to Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Can patients visit Belleville Family Health Center in Belleville, Illinois?
For routing, start with Belleville, Illinois for Belleville Family Health Center, then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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