HEALTH PLAN OF SOUTHERN ILLINOIS, INC. (NPI# 1548258437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548258437 |
Entity Type | Organization |
Organization Name | HEALTH PLAN OF SOUTHERN ILLINOIS, INC. |
Other Organization Name | FRANKLIN RURAL HEALTH CLINIC III |
Practice Address |
309 W Saint Louis St West Frankfort IL 62896-2099 |
Practice Telephone | 6189373526 |
Practice Fax Number | 6189323619 |
Mailing Telephone | 6189373526 |
Mailing Fax Number | 6189323619 |
Enumeration Date | 2005-10-13 |
Last Update Date | 2009-01-23 |
Authorized Official Name | DR. JAMES DURHAM (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6184393706 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS | 2815503 | 01 |
Other Name | Type Code |
---|---|
Franklin Rural Health Clinic III | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215925102 | Health Plan of Southern Illinois, Inc. | Clinic/Center | 205 Bailey Ln, Benton, IL 62812-1921 | 2005-10-13 |
1083602973 | Health Plan of Southern Illinois, Inc. | Clinic/Center | 1028 N Market St, Marion, IL 62959-2220 | 2005-10-13 |
1295723187 | Health Plan of Southern Illinois, Inc. | Clinic/Center | 108 Egyptian Ave, Christopher, IL 62822-1642 | 2005-10-13 |
Street Address |
309 W SAINT LOUIS ST |
City | WEST FRANKFORT |
State | IL |
Zip Code | 62896-2099 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700294584 | Kendra Megan Fischer | Nurse Practitioner | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2014-07-24 |
1013335496 | Ryan Patrick Clark | Physician Assistant | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2014-04-02 |
1841407590 | Joyce E Fogleman | Pharmacist | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2007-05-16 |
1982709382 | Razia Sami | Internal Medicine | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2006-09-13 |
1659483592 | J & S Professional Pharmcy Inc | Pharmacy | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2006-08-31 |
1346270923 | Julie Lynn Handwerk | Psychiatry & Neurology | 309 W Saint Louis St, Suite E, West Frankfort, IL 62896-2099 | 2006-07-03 |
1548242530 | Bob G Thompson | Family Medicine | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2005-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417468406 | Desrie Dawn Farley | Psychologist | 508 East Main, West Frankfort, IL 62896 | 2017-10-17 |
1205346657 | Erin Hutchinson | Speech-Language Pathologist | 1401 W Sixth St, West Frankfort, IL 62896 | 2017-10-11 |
1326499740 | Casey Huff | Counselor | 202 South Bentley St, Marion, IL 62896 | 2016-06-27 |
1629321922 | Sage Psychiatry LLC | Psychiatry & Neurology | 410 W St Louis Street, West Frankfort, IL 62896 | 2012-10-24 |
1497907737 | Angela H Henson | Physician Assistant | 310 West St. Louis Street, West Frankfort, IL 62896 | 2008-10-17 |
1881884187 | Homestead House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 North Jefferson, West Frankfort, IL 62896 | 2007-08-01 |
1528266608 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | 502 West St Louis Street, West Frankfort Community Health Center, West Frankfort, IL 62896 | 2007-07-10 |
1437212016 | National Assistance Bureau, Inc. | Skilled Nursing Facility | Westside Care Center, 601 North Columbia St, West Frankfort, IL 62896 | 2006-12-18 |
1922176171 | Sebastian John Pagano | Dentist | 208 North Ida, West Frankfort, IL 62896 | 2006-12-04 |
1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
Find all providers in zip 62896 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
1285806422 | Stacy Gardner | Clinic/Center | 410 W Saint Louis St, West Frankfort, IL 62896-1956 | 2008-03-27 |
1023123346 | Logan Primary Care Service Corp. | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896 | 2006-08-19 |
1215204938 | Southern Illinois Medical Services, Nfp | Clinic/Center | 502 W St Louis, West Frankfort, IL 62896-1968 | 2011-11-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
1356884993 | Gibson Community Hospital Association | Clinic/Center | 510 Prairie Ln Unit B, Cissna Park, IL 60924-9710 | 2016-11-30 |
Find all providers with the same taxonomy |
City | WEST FRANKFORT |
Zip Code | 62896 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.