# SOUTHERN ILLINOIS HOSPITAL SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Memorial Hospital of Carbondale
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093801797
- **Authorized official:** SHANNON HARTKE (CORPORATE DIRECTOR, PATIENT FINANCI)
- **Authorized official phone:** (618) 457-5200

## Contact information

- **Practice address:** 405 W JACKSON, CARBONDALE, IL 62901-1000
- **Practice address phone:** (618) 457-5200
- **Mailing address:** 1239 E MAIN ST, CARBONDALE, IL 62901-3175
- **Mailing address phone:** (618) 457-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0000513 | IL | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 08/18/2026