Organization · Type 2 NPI

Southern Illinois Medical Services, NFP

Rural Health Clinic/Center · Murphysboro, IL

NPI number 1992032809 Active

Practice location

19 E Shawnee Dr, Suite 2
Murphysboro, IL 62966-7071

Call (618) 684-2172 Map

Fax (618) 687-4480

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Specialties and licenses

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

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

2 other providers at this address

Medical Arts Clinic LtdFamily Medicine Physician Murphysboro, IL NPI 1528035821
Michael L Treece, Md, SCCardiovascular Disease Physician Murphysboro, IL NPI 1659476828

NPI record

NPI: 1992032809
Entity type: Organization (Type 2)
Issued: Nov 13, 2009
Last updated: Jan 7, 2025
Status: Active
Subpart: Yes of Southern Illinois Hospital Services

Other names

<unavail>
Medical Arts Clinic · doing business as

Authorized official

Warren P Ladner
Senior VP Chief Financial 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 1992032809

Southern Illinois Medical Services, NFP's National Provider Identifier is 1992032809, issued on Nov 13, 2009. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Murphysboro, IL. The record was last updated on Jan 7, 2025.