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SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES P.C. NPI 1689636888


NPI Information

NPI: 1689636888
Provider Name: SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
33 W MAIN ST
ALBION, IL
ZIP 62806
Phone: (618) 842-4470
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SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C. is a family medicine in Albion, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SOUTHERN ILLINOIS PRIMARY CARE ASSOCIATES, P.C. NPI is 1689636888. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33 W MAIN ST
ALBION, IL
ZIP 62806-006
Phone: (618) 842-4470
Fax: (618) 842-3437

The provider's authorized official is Cathy L Harte .
The authorized official title is Director Of Business Corp Secretary and has the following contact phone number (618) 842-4470.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 10/6/2008.


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
1207R00000XInternal Medicine060009133ILLINOISNo
2207V00000XObstetrics & Gynecology060009133ILLINOISNo
3208000000XPediatrics060009133ILLINOISNo
4363L00000XNurse Practitioner060009133ILLINOISNo
5363A00000XPhysician Assistant060009133ILLINOISNo
6207Q00000XFamily Medicine060009133ILLINOISYes

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
1975940MEDICARE PINILLINOIS
2=========6280601MEDICAIDILLINOIS
3143848MEDICARE OSCAR/CERTIFICATIONILLINOIS

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: 5/5/2024

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