SOUTHERN ILLINOIS HOSPITAL SERVICES (NPI# 1639595036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639595036 |
Entity Type | Organization |
Organization Name | SOUTHERN ILLINOIS HOSPITAL SERVICES |
Other Organization Name | ST. JOSEPH MEMORIAL HOSPITAL |
Practice Address |
2 S Hospital Dr Murphysboro IL 62966-3333 |
Practice Telephone | 6186842156 |
Mailing Telephone | 6186842156 |
Enumeration Date | 2014-03-10 |
Last Update Date | 2014-05-02 |
Authorized Official Name | SHANNON S HARTKE (CORPORATE DIRECTOR OF PFS) |
Authorized Official Telephone | 6184575200 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 275N00000X | Medicare Defined Swing Bed Unit | 0004614 | IL | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | MEDICARE PROVIDER NUMBER | 141334 | 01 |
IL | MEDICARE PART B PROVIDER NUMBER | 613930 | 01 |
IL | MEDICARE SWING BED PROVIDER NUMBER | 14Z334 | 01 |
Other Name | Type Code |
---|---|
St. Joseph Memorial Hospital | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093801797 | Southern Illinois Hospital Services | General Acute Care Hospital | 405 W Jackson, Carbondale, IL 62901-1000 | 2006-10-04 |
1225122047 | Southern Illinois Hospital Services | Rehabilitation Unit | 201 S. 14th, Herrin, IL 62948 | 2006-10-03 |
1356435135 | Southern Illinois Hospital Services | General Acute Care Hospital | 2 South Hospital Drive, Murphysboro, IL 62966 | 2006-10-03 |
1235525270 | Southern Illinois Hospital Services | Pharmacy | 405 W Jackson St, Carbondale, IL 62901-1462 | 2015-04-07 |
1154408581 | Southern Illinois Hospital Services | Family Medicine | 2553 Ken Gray Blvd, West Frankfort, IL 62896-4174 | 2006-11-01 |
1528158573 | Southern Illinois Hospital Services | General Acute Care Hospital | 201 S 14th St, Herrin, IL 62948-3631 | 2006-10-13 |
Street Address |
2 S HOSPITAL DR |
City | MURPHYSBORO |
State | IL |
Zip Code | 62966-3333 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346248143 | John T. Girardi | Emergency Medicine | 2 S Hospital Dr, Murphysboro, IL 62966 | 2005-07-14 |
1942818851 | Nicole Renee Burkett | Physical Medicine & Rehabilitation | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2020-07-16 |
1871029280 | Prativa Pandey | Hospitalist | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2017-05-04 |
1003292624 | Mohammed Guba | Internal Medicine | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2015-08-05 |
1992197230 | St Joseph Memorial Hospital | General Acute Care Hospital | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2015-02-24 |
1164838371 | Sahitya Settypalli | Preventive Medicine | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-07-08 |
1235553470 | Beth Janelle Stewart | Registered Nurse | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-02-07 |
1225345994 | Robin Varghese | Specialist | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2010-09-01 |
1366670994 | Harshavardhan Tathireddy | Internal Medicine | 2 S Hospital Dr, Murphysboro, IL 62966 | 2009-06-22 |
1235325994 | Stephen Reese Holley | Internal Medicine | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2007-09-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093272999 | Lifenet, Inc. | Ambulance | 430 N Airport Rd, Murphysboro, IL 62966 | 2019-02-27 |
1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
1295281558 | Alternatives Counseling Inc. | Community/Behavioral Health | 1400 N Wood Road, Murphysboro, IL 62966 | 2016-08-28 |
1962855833 | Andrea Maren Whipple | Counselor | 617 Walnut St, Murphysboro, IL 62966 | 2016-07-15 |
1730544180 | Lasharon Smith | Non-emergency Medical Transport (VAN) | 37 Nins Lane, Murphysboro, WI 62966 | 2015-12-29 |
1710241328 | Kati K Rush | Podiatrist | 19 E Shawnee Dr Ste 3, Murphysboro, IL 62966 | 2012-06-28 |
1386709418 | Hoai P Nguyen | Dentist | 1116 Locust Street, Murphysboro, IL 62966 | 2006-12-27 |
1154416576 | Hayley Autumn Hood | Occupational Therapist | 6 East Shawnee, Murphysboro, IL 62966 | 2006-10-03 |
1356435135 | Southern Illinois Hospital Services | General Acute Care Hospital | 2 South Hospital Drive, Murphysboro, IL 62966 | 2006-10-03 |
1699879825 | Stephen Craig Mills | Chiropractor | 1010 N 14th St, Murphysboro, IL 62966 | 2006-09-08 |
Find all providers in zip 62966 |
Taxonomy Code | 275N00000X |
Grouping | Hospital Units |
Classification | Medicare Defined Swing Bed Unit |
A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
Notes: Source: Code of Federal Regulations #42, Section 482.66. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316169949 | Alexian Brothers Medical Center | Medicare Defined Swing Bed Unit | 800 Biesterfield Rd Ste 605, Eberle Medical Office Building, Elk Grove Village, IL 60007-3362 | 2007-05-03 |
1902854623 | Cgh Medical Center | Medicare Defined Swing Bed Unit | 100 E Le Fevre Rd, Sterling, IL 61081-1278 | 2006-05-05 |
1336638915 | Valley West Community Hospital | Medicare Defined Swing Bed Unit | 1302 N Main St, Sandwich, IL 60548-2587 | 2018-05-09 |
1447747316 | St Josephs Hospital Breese of The Hospital Sisters of The Third Order | Medicare Defined Swing Bed Unit | 9515 Holy Cross Ln, Breese, IL 62230-3618 | 2018-04-17 |
1912404765 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2018-04-09 |
1801212055 | Osf Healthcare System | Medicare Defined Swing Bed Unit | 1051 W South St, Kewanee, IL 61443-8354 | 2014-03-12 |
1295066983 | Advocate Health and Hospitals Corp. | Medicare Defined Swing Bed Unit | 101 S Major St, Eureka, IL 61530-1246 | 2010-01-20 |
1114199122 | Accuracy Urgent Care | Medicare Defined Swing Bed Unit | 805 W Deyoung St, Suite E, Marion, IL 62959-1604 | 2008-03-31 |
1174713440 | St Francis Hospital Sisters of The Third Order of St Francis | Medicare Defined Swing Bed Unit | 1215 Franciscan Dr, Box 1215, Litchfield, IL 62056-1778 | 2007-08-01 |
1962600072 | Katherine Shaw Bethea Hospital | Medicare Defined Swing Bed Unit | 403 E 1st St, Dixon, IL 61021-3116 | 2007-07-10 |
Find all providers with the same taxonomy |
City | MURPHYSBORO |
Zip Code | 62966 |
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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.