Organization
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Active
Parent organization
SOUTHERN ILLINOIS HOSPITAL SERVICES
Other names
Logan Primary Care Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHERN ILLINOIS HOSPITAL SERVICES
Authorized official
WARREN P LADNER (SENIOR VP CHIEF FINANCIAL OFFICER)
(618) 457-5200
Entity
Organization
Contact information
Practice address
502 W SAINT LOUIS ST STE 4, WEST FRANKFORT, IL 62896-1968
(618) 997-3400
(618) 932-9010
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Enumeration date
11/23/2011
Last updated
08/13/2025
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