SOUTHERN ILLINOIS MEDICAL SERVICES NFP NPI 1780985135

NPI Information

NPI: 1780985135
Provider Name: SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Doing Business As: BENTON COMMUNITY HEALTHCARE

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

Specialization: Rural Health

Address:
203 BAILEY LN
SUITE 1
BENTON, IL
ZIP 62812
Phone: (618) 438-5670
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SOUTHERN ILLINOIS MEDICAL SERVICES, NFP is a rural health clinic center in Benton, IL. SOUTHERN ILLINOIS MEDICAL SERVICES, NFP NPI is 1780985135. The provider is registered as an organization entity type.
The provider Is Doing Business As Benton Community Healthcare.

The provider's business location address is:

203 BAILEY LN
SUITE 1
BENTON, IL
ZIP 62812-969
Phone: (618) 438-5670
Fax: (618) 438-5709

The provider's authorized official is Rex P Budde .
The authorized official title is Chief Executive Officer and has the following contact phone number (618) 457-5200.

The enumeration date for this NPI number is 11/16/2010 and was last updated on 11/16/2010.

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

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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