HEALTH PLAN OF SOUTHERN ILLINOIS INC. NPI 1215925102

NPI Information

NPI: 1215925102
Provider Name: HEALTH PLAN OF SOUTHERN ILLINOIS, INC.

Doing Business As: FRANKLIN RURAL HEALTH CLINIC I

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
205 BAILEY LN
BENTON, IL
ZIP 62812
Phone: (618) 439-3706
Get Directions

HEALTH PLAN OF SOUTHERN ILLINOIS, INC. is a rural health clinic center in Benton, IL. HEALTH PLAN OF SOUTHERN ILLINOIS, INC. NPI is 1215925102. The provider is registered as an organization entity type.
The provider Is Doing Business As Franklin Rural Health Clinic I.

The provider's business location address is:

205 BAILEY LN
BENTON, IL
ZIP 62812-921
Phone: (618) 439-3706
Fax: (618) 435-2023

The provider's authorized official is James Durham .
The authorized official title is Medical Director and has the following contact phone number (618) 439-3706.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 1/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========005	MEDICAID	ILLINOIS
2	D10775	MEDICARE UPIN	ILLINOIS
3	2815503	OTHER	ILLINOIS	BCBS
4	298721	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE PART B
5	143802	MEDICARE OSCAR/CERTIFICATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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