HEALTH PLAN OF SOUTHERN ILLINOIS, INC. (NPI# 1215925102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215925102 |
| Entity Type | Organization |
| Organization Name | HEALTH PLAN OF SOUTHERN ILLINOIS, INC. |
| Other Organization Name | FRANKLIN RURAL HEALTH CLINIC I |
| Practice Address |
205 Bailey Ln Benton IL 62812-1921 |
| Practice Telephone | 6184393706 |
| Practice Fax Number | 6184352023 |
| Mailing Telephone | 6184393706 |
| Mailing Fax Number | 6184352023 |
| 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 I | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1548258437 | Health Plan of Southern Illinois, Inc. | Clinic/Center | 309 W Saint Louis St, West Frankfort, IL 62896-2099 | 2005-10-13 |
| Street Address |
205 BAILEY LN |
| City | BENTON |
| State | IL |
| Zip Code | 62812-1921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811160799 | Sohail Ahmad Khan | Internal Medicine | 205 Bailey Ln, Benton, IL 62812-1921 | 2008-04-10 |
| 1588852305 | Saeed A. Khan | Internal Medicine | 205 Bailey Ln, Benton, IL 62812-1921 | 2007-10-05 |
| 1093832651 | James Durham | Surgery | 205 Bailey Ln, Benton, IL 62812-1921 | 2007-03-26 |
| 1982772984 | Franklin Hospital | Surgery | 205 Bailey Ln, Benton, IL 62812-1921 | 2006-11-30 |
| 1487670584 | Mackmalter Enterprises Inc | Durable Medical Equipment & Medical Supplies | 205 Bailey Ln, Benton, IL 62812-1921 | 2006-07-14 |
| 1518997469 | Mercy Regional Health Systems | Ambulance | 205 Bailey Ln, Benton, IL 62812-1921 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417472739 | City of Benton | Ambulance | 107 N. Maple St., Benton, IL 62812 | 2017-08-08 |
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1255647129 | Centerstone of Illinois, Inc | Counselor | 409 South George Street, Benton, IL 62812 | 2010-08-30 |
| 1215184635 | Darla Joe Allan | Emergency Medicine | 501 Du Quoin St, Benton, IL 62812 | 2008-08-27 |
| 1770752362 | Rlh Anesthesia Service PC | Nurse Anesthetist, Certified Registered | 86 Skiers Run, Benton, IL 62812 | 2008-02-27 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1801014782 | Maureen Tinsley | Occupational Therapist | 9 Rend Lake Plaza, Benton, IL 62812 | 2007-04-23 |
| 1154485316 | Carmen J House | Chiropractor | 106 West Washington Street, Benton, IL 62812 | 2006-12-21 |
| 1548240211 | Christopher Greater Area Rural Health Planning Corp | Family Medicine | Rea Clinic Benton, 201 Bailey Lane, Benton, IL 62812 | 2006-01-19 |
| 1477531192 | David Frank Szoke | Emergency Medicine | 905 West Washington, Benton, IL 62812 | 2006-01-03 |
| Find all providers in zip 62812 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982955712 | National Healthcare of Mt Vernon Inc | Clinic/Center | 905 W Washington St Ste A, Benton, IL 62812 | 2012-09-19 |
| 1841405610 | John T Hall M.d. | Clinic/Center | 401 E Park St, Benton, IL 62812-1920 | 2007-05-14 |
| 1487210654 | Baptist Health Medical Group Inc | Clinic/Center | 543 Powell Ln, Benton, KY 42025-5366 | 2019-05-14 |
| 1962873109 | Marshall County Hospital District | Clinic/Center | 619 Old Symsonia Rd, Benton, KY 42025-5094 | 2015-10-14 |
| 1376845834 | Lhcg Xxiii, LLC | Clinic/Center | 501 George Mcclain Dr, Benton, KY 42025-1365 | 2010-12-03 |
| 1780985135 | Southern Illinois Medical Services, Nfp | Clinic/Center | 203 Bailey Ln, Suite 1, Benton, IL 62812-1969 | 2010-11-16 |
| 1982845137 | Southern Illinois Medical Services, Nfp | Clinic/Center | 203 Bailey Ln, Benton, IL 62812-1969 | 2009-03-18 |
| 1033140488 | Franklin Hospital District | Clinic/Center | 201 Bailey Lane, Benton, IL 62812-0000 | 2006-07-05 |
| 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 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 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 |
| Find all providers with the same taxonomy | ||||
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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.