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Organization

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Active
Parent organization
SOUTHERN ILLINOIS HOSPITAL SERVICES
Other names
Primary Care Group
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
117 E CLARK ST, HARRISBURG, IL 62946-2702
(618) 252-8625
(618) 351-4859
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
036042756
IL
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
02/18/2014
Last updated
04/13/2026
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