Organization · Type 2 NPI

Southern Illinois Hospital Services

Mammography Clinic/Center · Carbondale, IL

NPI number 1013832260 Active

Practice location

1237 E Main St Ste C1
Carbondale, IL 62901-3148

Call (618) 457-2281 Map

Fax (618) 529-0565

Mailing address

1239 E Main St
Carbondale, IL 62901-3175

Specialties and licenses

Taxonomy	Code	License
Mammography Clinic/Center Primary	261QR0206X	None listed

Mammography Clinic/Center: Definition to come...

2 other providers at this address

NPI record

NPI: 1013832260
Entity type: Organization (Type 2)
Issued: Aug 13, 2026
Last updated: Aug 17, 2026
Status: Active
Subpart: Yes of Southern Illinois Hospital Services

Other names

Memorial Hospital of Carbondale · doing business as

Authorized official

Shannon Hartke
Corporate Director PFS
(618) 457-5200

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013832260

Southern Illinois Hospital Services's National Provider Identifier is 1013832260, issued on Aug 13, 2026. The primary taxonomy on file is Mammography Clinic/Center (261QR0206X), and the practice location is in Carbondale, IL. The record was last updated on Aug 17, 2026.