Southern Illinois Medical Services, Nfp

NPI #1982845137 in Benton, Illinois

Provider Information

NPI Number
1982845137
Entity Type
Organization
Organization Name
Southern Illinois Medical Services, Nfp
Subpart
Yes (part of a larger organization)
Parent Organization
SOUTHERN ILLINOIS HOSPITAL SERVICES
Primary Specialty
Clinic/Center - Rural Health
Enumeration Date
Mar 18, 2009
Last Updated
Mar 18, 2009

Practice Location

Address
203 BAILEY LN
City
Benton
ZIP Code
62812-1969
Phone
(618) 438-5670

Authorized Official

Name
MR. REX P BUDDE
Title
CHIEF EXECUTIVE OFFICER
Phone
(618) 457-5200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rural HealthRural Health

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