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Contact Information

SOUTHERN ILLINOIS HOSPITAL SERVICES
405 W JACKSON ST
CARBONDALE, IL62901-1462
 Phone: 618-549-0721
 Fax: 618-529-0475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SOUTHERN ILLINOIS HOSPITAL SERVICES

NPI # 1235525270
LBN Legal business name SOUTHERN ILLINOIS HOSPITAL SERVICES
Authorized official TRISTA GIACOMO - (PHARMACY MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/07/2015
Last updated 04/07/2015 - About 11 years ago
Identifiers
IL License # 054017053
Other 2150884 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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