Organization · Type 2 NPI

Southern Illinois Medical Services, NFP

Rural Health Clinic/Center · Benton, IL

NPI number 1982845137 Active

Practice location

203 Bailey Ln
Benton, IL 62812-1969

Fax (618) 438-5709

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

5 other providers at this address

Crossroads Physicians CorpFamily Medicine Physician Benton, IL NPI 1144286717
Southern Illinois Medical Services, NFPRural Health Clinic/Center Benton, IL NPI 1780985135
Anthony Miksanek, MDFamily Medicine Physician Benton, IL NPI 1992760177
Christopher J. Ostromecki, MDCardiovascular Disease Physician Benton, IL NPI 1497746390
Olufeyisayo Jokotola Taiwo, MDObstetrics & Gynecology Physician Benton, IL NPI 1194108712

Other rural health clinic/center providers in Benton

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NPI record

NPI: 1982845137
Entity type: Organization (Type 2)
Issued: Mar 18, 2009
Last updated: Mar 18, 2009
Status: Active
Subpart: Yes of Southern Illinois Hospital Services

Other names

<unavail>
Benton Community Healthcare · doing business as

Authorized official

Mr. Rex P Budde
Chief Executive Officer
(618) 457-5200

Verify this record

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 1982845137

Southern Illinois Medical Services, NFP's National Provider Identifier is 1982845137, issued on Mar 18, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Benton, IL. The record was last updated on Mar 18, 2009.