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SOUTHERN ILLINOIS HOSPITAL SERVICES NPI 1356435135


NPI Information

NPI: 1356435135
Provider Name: SOUTHERN ILLINOIS HOSPITAL SERVICES

Doing Business As: ST. JOSEPH MEMORIAL HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 14D0697203

Address:
2 SOUTH HOSPITAL DRIVE
MURPHYSBORO, IL
ZIP 62966
Phone: (618) 684-3156
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SOUTHERN ILLINOIS HOSPITAL SERVICES is a critical access general acute care hospital in Murphysboro, IL. SOUTHERN ILLINOIS HOSPITAL SERVICES NPI is 1356435135. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Joseph Memorial Hospital.

The provider's business location address is:

2 SOUTH HOSPITAL DRIVE
MURPHYSBORO, IL
ZIP 62966
Phone: (618) 684-3156

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 CLIA number assigned to this NPI record is 14D0697203 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/3/2006 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
1282NC0060XGeneral Acute Care HospitalCritical Access004614ILLINOISYes

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
1203944MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B NUMBER
2613930MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B PROVIDER
3203243MEDICARE PINILLINOIS
4CB8501MEDICARE PIN
5141334MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER
6205052MEDICARE PINILLINOIS

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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