SOUTHERN ILLINOIS HOSPITAL SERVICES (NPI# 1225122047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225122047 |
| Entity Type | Organization |
| Organization Name | SOUTHERN ILLINOIS HOSPITAL SERVICES |
| Other Organization Name | HERRIN HOSPITAL |
| Practice Address |
201 S. 14th Herrin IL 62948 |
| Mailing Address |
1239 E. Main Po Box 3988 Carbondale IL 62901-3988 |
| Practice Telephone | 6189422171 |
| Mailing Telephone | 6184575200 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-02-05 |
| Authorized Official Name | SHANNON HARTKE (CORPORATE DIRECTOR, PATIENT FINANCI) |
| Authorized Official Telephone | 6184575200 |
| Authorized Official Credential | MBA, CHFP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0000935 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| Herrin 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 |
| 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 |
| 1639595036 | Southern Illinois Hospital Services | Medicare Defined Swing Bed Unit | 2 S Hospital Dr, Murphysboro, IL 62966-3333 | 2014-03-10 |
| 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 |
201 S. 14TH |
| City | HERRIN |
| State | IL |
| Zip Code | 62948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245672658 | Via Physical Therapy, P.C. | Rehabilitation Unit | 4513 Lincoln Ave Ste 212, Lisle, IL 60532-1291 | 2013-07-25 |
| 1659605814 | Elmhurst Rehabilitation Services, P.C. | Rehabilitation Unit | 360 W Butterfield Rd Ste 150, Elmhurst, IL 60126-5099 | 2009-09-21 |
| 1003933797 | Silver Cross Hospital & Medical Centers | Rehabilitation Unit | 1900 Silver Cross Blvd., New Lenox, IL 60451-9508 | 2007-03-26 |
| 1902941628 | Alexian Brothers Medical Center | Rehabilitation Unit | 935 Beisner Rd, Elk Grove Village, IL 60007-3475 | 2007-02-20 |
| 1780686758 | Merit Lincoln Park LLC | Rehabilitation Unit | 550 W Webster Ave, Chicago, IL 60614-3965 | 2005-08-10 |
| 1316413313 | Pipeline - Weiss Memorial Hospital, LLC | Rehabilitation Unit | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2018-10-17 |
| 1699241612 | Pipeline-westlake Hospital, LLC | Rehabilitation Unit | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2018-10-17 |
| 1134607005 | Advocate North Side Health Network | Rehabilitation Unit | 836 W Wellington Ave, Chicago, IL 60657 | 2018-08-02 |
| 1770096521 | Osf Healthcare System | Rehabilitation Unit | 1400 W Park St, Urbana, IL 61801-2334 | 2017-11-14 |
| 1679007215 | Partriot Pilates, Inc | Rehabilitation Unit | 932 S State St, Lockport, IL 60441-3436 | 2017-04-19 |
| 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.