SOUTHERN ILLINOIS HOSPITAL SERVICES


Address: 2 S Hospital Dr, Murphysboro, IL 62966-3333
Phone: 6186842156

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 275N00000X Medicare Defined Swing Bed Unit 0004614 IL Hospital Units

Other Provider Identifier

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 Provider/Organization Names

Other Name Type Code
St. Joseph Memorial Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 2 S HOSPITAL DR
City MURPHYSBORO
State IL
Zip Code 62966-3333

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 275N00000X
Grouping Hospital Units
Classification Medicare Defined Swing Bed Unit

Taxonomy Definition

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.

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City MURPHYSBORO
Zip Code 62966

Improve Information

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Dataset Information

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.

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