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Organization
HEALTH PLAN OF SOUTHERN ILLINOIS, INC.
Active
Organization
HEALTH PLAN OF SOUTHERN ILLINOIS, INC.
Active
Other names
Marion Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DURHAM M.D. (MEDICAL DIRECTOR)
(618) 439-3706
Entity
Organization
Contact information
Practice address
1028 N MARKET ST, MARION, IL 62959-2220
(618) 993-8913
(618) 997-2867
Mailing address
1028 N MARKET ST, MARION, IL 62959-2220
(618) 993-8913
(618) 997-2867
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2005
Last updated
01/23/2009
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