# SOUTHERN ILLINOIS EMERGENCY MEDICAL SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SOUTHERN ILLINOIS EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881401941
- **Authorized official:** BRENDA BUTLER (VICE PRESIDENT)
- **Authorized official phone:** (618) 340-1179

## Contact information

- **Practice address:** 1003 W CHERRY ST, MARION, IL 62959-1913
- **Practice address phone:** (618) 340-1179
- **Practice address fax:** (580) 628-2267
- **Mailing address:** 121 N 8TH ST, DUPO, IL 62239-1514
- **Mailing address phone:** (618) 340-1179
- **Mailing address fax:** (580) 628-2267

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/12/2024
- **Last updated:** 01/27/2025