# SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN ILLINOIS HOSPITAL SERVICES
- **Other names:** Primary Care Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750705364
- **Legal business name:** SOUTHERN ILLINOIS HOSPITAL SERVICES
- **Authorized official:** WARREN P LADNER (SENIOR VP CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (618) 457-5200

## Contact information

- **Practice address:** 117 E CLARK ST, HARRISBURG, IL 62946-2702
- **Practice address phone:** (618) 252-8625
- **Practice address fax:** (618) 351-4859
- **Mailing address:** PO BOX 3988, CARBONDALE, IL 62902-3988
- **Mailing address phone:** (618) 457-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 036042756 | IL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/18/2014
- **Last updated:** 04/13/2026