Provider Type Icon

SOUTHERN ILLINOIS HOSPITAL SERVICES NPI 1093801797


NPI Information

NPI: 1093801797
Provider Name: SOUTHERN ILLINOIS HOSPITAL SERVICES

Doing Business As: MEMORIAL HOSPITAL OF CARBONDALE

Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
405 W JACKSON
CARBONDALE, IL
ZIP 62901
Phone: (618) 457-5200
Get Directions

SOUTHERN ILLINOIS HOSPITAL SERVICES is a general acute care hospital in Carbondale, IL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. SOUTHERN ILLINOIS HOSPITAL SERVICES NPI is 1093801797. The provider is registered as an organization entity type.
The provider Is Doing Business As Memorial Hospital Of Carbondale.

The provider's business location address is:

405 W JACKSON
CARBONDALE, IL
ZIP 62901-000
Phone: (618) 457-5200

The provider's authorized official is Shannon Hartke .
The authorized official title is Corporate Director, Patient Financi and has the following contact phone number (618) 457-5200.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 2/5/2013.


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
1282N00000XGeneral Acute Care Hospital0000513ILLINOISYes

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
1DE1812MEDICARE PINILLINOIS
2813990MEDICARE PINILLINOIS
3CA0879MEDICARE PINILLINOIS
4813900MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B PROVIDER
5203944MEDICARE PINILLINOIS
6140164MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER
70000513OTHERILLINOISSTATE OF IL LICENSE NUMBE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.