Organization
HEALTH PLAN OF SOUTHERN ILLINOIS, INC.
Active
Other names
Franklin Rural Health Clinic II
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
108 EGYPTIAN AVE, CHRISTOPHER, IL 62822-1642
(618) 724-2486
(618) 724-7555
Mailing address
108 EGYPTIAN AVE, CHRISTOPHER, IL 62822-1642
(618) 724-2486
(618) 724-7555
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2815503
BCBS
IL
Enumeration date
10/13/2005
Last updated
08/22/2020
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