| Southern Illinois Medical Services, Nfp | |
|
203 Bailey Ln Suite 1 Benton IL 62812-1969 | |
| (618) 438-5670 | |
| (618) 438-5709 |
| Full Name | Southern Illinois Medical Services, Nfp |
|---|---|
| Speciality | Clinic/Center |
| Location | 203 Bailey Ln, Benton, Illinois |
| Authorized Official Name and Position | Warren P Ladner (SENIOR VP CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6184575200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Illinois Medical Services, Nfp Po Box 3988 Carbondale IL 62902-3988 Ph: (618) 457-5200 | Southern Illinois Medical Services, Nfp 203 Bailey Ln Suite 1 Benton IL 62812-1969 Ph: (618) 438-5670 |
| NPI Number | 1780985135 |
|---|---|
| Provider Enumeration Date | 11/16/2010 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 3678677390 |
|---|---|
| Medicare Enrollment ID | O20110214000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780985135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Franklin Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 201 Bailey Lane, Benton, IL 62812 Phone: 618-439-3161 Fax: 618-439-4049 | |
Crossroads Physicians Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Bailey Ln, Benton, IL 62812 Phone: 618-438-3621 Fax: 618-438-3622 | |
Health Plan Of Southern Illinois, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-439-3706 Fax: 618-435-2023 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 206 E Church St Ste B, Benton, IL 62812 Phone: 618-435-9888 Fax: 618-435-9889 | |
Christopher Greater Area Rural Health Planning Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 E Smith St Ste B, Benton, IL 62812 Phone: 618-435-9315 Fax: 618-435-9316 | |
Saeed A. Khan Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln, Benton, IL 62812 Phone: 618-435-8189 Fax: 618-439-3173 | |
National Healthcare Of Mt Vernon Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Bailey Ln Ste F, Benton, IL 62812 Phone: 618-882-4200 Fax: 618-882-4208 |