| Southern Illinois Hospital Services | |
|
2553 Ken Gray Blvd West Frankfort IL 62896-4174 | |
| (618) 932-3937 | |
| (618) 932-2734 |
| Full Name | Southern Illinois Hospital Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2553 Ken Gray Blvd, West Frankfort, 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 Hospital Services Po Box 3988 Carbondale IL 62902-3988 Ph: (618) 457-5200 | Southern Illinois Hospital Services 2553 Ken Gray Blvd West Frankfort IL 62896-4174 Ph: (618) 932-3937 |
| NPI Number | 1154408581 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 2961310966 |
|---|---|
| Medicare Enrollment ID | O20100622000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154408581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (Illinois) | Primary |
Logan Primary Care Service Corp. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 502 W St Louis, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-932-3797 | |
Southern Illinois Medical Services, Nfp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 502 W Saint Louis St Ste 4, West Frankfort, IL 62896 Phone: 618-997-3400 Fax: 618-997-9324 | |
Stacy Gardner Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202 | |
Franklin Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 W Saint Louis St Ste B, West Frankfort, IL 62896 Phone: 618-932-2200 Fax: 618-932-2202 | |
Health Plan Of Southern Illinois, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 309 W Saint Louis St, West Frankfort, IL 62896 Phone: 618-937-3526 Fax: 618-932-3619 | |
Advanced Surgical Technology, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 309 W Saint Louis St Ste A, West Frankfort, IL 62896 Phone: 618-932-9313 Fax: 618-932-9314 |