Organization
HEALTH PLAN OF SOUTHERN ILLINOIS, INC.
Active
Other names
Franklin Rural Health Clinic I
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DURHAM M.D. (MEDICAL DIRECTOR)
(618) 439-3706
Entity
Organization
Contact information
Practice address
205 BAILEY LN, BENTON, IL 62812-1921
(618) 439-3706
(618) 435-2023
Mailing address
205 BAILEY LN, BENTON, IL 62812-1921
(618) 439-3706
(618) 435-2023
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2815503
BCBS
IL
Enumeration date
10/13/2005
Last updated
01/23/2009
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