Organization · Type 2 NPI
Physician Services Corporation of Southern Illinois Inc
Rural Health Clinic/Center · Centralia, IL
NPI number
1780688671
Active
Practice location
1441 W Broadway
Centralia, IL 62801-0001
Mailing address
1411 W Broadway
Centralia, IL 62801-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rural Health Clinic/Center Primary | 261QR1300X | 0002642 (IL) |
Rural Health Clinic/Center: Definition to come...
10 other providers at this address
- Charles Morris Lauder Iii, ATC, ATLAthletic Trainer Centralia, IL NPI 1942578299
- Cody Huels, PTPhysical Medicine & Rehabilitation Physician Centralia, IL NPI 1902557911
- Karen Diane Hummel, PACPhysician Assistant Centralia, IL NPI 1356392245
- Kendra D. Bowen, PACPhysician Assistant Centralia, IL NPI 1457318438
- Laura Marie Johnson, DPTPhysical Medicine & Rehabilitation Physician Centralia, IL NPI 1346707858
- Maria Riaz, MDInternal Medicine Physician Centralia, IL NPI 1245751940
- Rex Stombaugh, PAPhysician Assistant Centralia, IL NPI 1568406064
- Ruth E. Rakey, APNWomen's Health Nurse Practitioner Centralia, IL NPI 1669425526
- Tracie FosterNurse Practitioner Centralia, IL NPI 1508258476
- Usha Kiran Sadanala, MDFamily Medicine Physician Centralia, IL NPI 1326308248
Other rural health clinic/center providers in Centralia
About NPI 1780688671
Physician Services Corporation of Southern Illinois Inc's National Provider Identifier is 1780688671, issued on Jun 8, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Centralia, IL. The record was last updated on Aug 26, 2015.