# HEALTH PLAN OF SOUTHERN ILLINOIS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Franklin Rural Health Clinic II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295723187
- **Authorized official:** DR. JAMES DURHAM M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (618) 439-3706

## Contact information

- **Practice address:** 108 EGYPTIAN AVE, CHRISTOPHER, IL 62822-1642
- **Practice address phone:** (618) 724-2486
- **Practice address fax:** (618) 724-7555
- **Mailing address:** 108 EGYPTIAN AVE, CHRISTOPHER, IL 62822-1642
- **Mailing address phone:** (618) 724-2486
- **Mailing address fax:** (618) 724-7555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 10/13/2005
- **Last updated:** 08/22/2020