# SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHERN ILLINOIS HOSPITAL SERVICES
- **Other names:** Medical Arts Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992032809
- **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:** 19 E SHAWNEE DR, SUITE 2, MURPHYSBORO, IL 62966-7071
- **Practice address phone:** (618) 684-2172
- **Practice address fax:** (618) 687-4480
- **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 | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2009
- **Last updated:** 01/07/2025