SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION (NPI# 1912347485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912347485 |
Entity Type | Organization |
Organization Name | SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION |
Other Organization Name | CAIRO DIAGNOSTIC CENTER LABORATORY |
Practice Address |
13289 Kessler Rd Cairo IL 62914-3101 |
Practice Telephone | 6187341500 |
Practice Fax Number | 6187349152 |
Mailing Telephone | 6187341500 |
Mailing Fax Number | 6187349152 |
Enumeration Date | 2013-06-28 |
Last Update Date | 2013-08-09 |
Authorized Official Name | MR. FREDERICK L BERNSTEIN (C.E.O.) |
Authorized Official Telephone | 6184570450 |
Is Organization Subpart | Y |
Parent Organization Name | SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CLIA# | 14D0436489 | 01 |
Other Name | Type Code |
---|---|
Cairo Diagnostic Center Laboratory | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487099578 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-03 |
1326469032 | Southernmost Illinois Community Health Improvement Corporation | Podiatrist | 13289 Kessler Rd, Suite 138, Cairo, IL 62914-3101 | 2013-12-23 |
1770920183 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
1588001093 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
Street Address |
13289 KESSLER RD |
City | CAIRO |
State | IL |
Zip Code | 62914-3101 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487099578 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-03 |
1326469032 | Southernmost Illinois Community Health Improvement Corporation | Podiatrist | 13289 Kessler Rd, Suite 138, Cairo, IL 62914-3101 | 2013-12-23 |
1770920183 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
1588001093 | Southernmost Illinois Community Health Improvement Corporation | Clinic/Center | 13289 Kessler Rd, Cairo, IL 62914-3101 | 2013-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093262602 | Tamela Michelle Hughes | Counselor | 1404 Washington Ave., Cairo, IL 62914 | 2016-09-01 |
1679029920 | Robin Lynn Lutker | Licensed Practical Nurse | 1401 Wahsington Street, Cairo, IL 62914 | 2016-08-28 |
1396780722 | Tanya H. Vargas | Pediatrics | 13245 Kessler Rd, Cairo, IL 62914 | 2006-06-19 |
1710979588 | Community Health & Emergency Services, Inc. | Clinic/Center | 13245 Kessler Rd, Cairo, IL 62914 | 2005-08-18 |
1932300993 | Cairo School District Number One Alexander Co. | Local Education Agency (LEA) | 303 34th St, Cairo, IL 62914-1104 | 2007-05-29 |
1033414800 | Delta Center Inc | Clinic/Center | 417 30th St, Cairo, IL 62914-1344 | 2011-01-25 |
1902274889 | Family Counseling Center, Inc. | Community/Behavioral Health | 417 30th St, Cairo, IL 62914-1344 | 2015-09-09 |
1366744211 | Delta Center, Inc | Clinic/Center | 421 30th St, Cairo, IL 62914-1344 | 2010-11-29 |
1669984399 | Carol Stout | Speech-Language Pathologist | 3101 Elm St, Cairo, IL 62914-1362 | 2017-11-03 |
1174825020 | Delta Center, Inc | Clinic/Center | 2107 Pine St, Cairo, IL 62914-1613 | 2010-11-29 |
Find all providers in zip 62914 |
Taxonomy Code | 291U00000X |
Grouping | Laboratories |
Classification | Clinical Medical Laboratory |
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033178652 | Community Health Services Lab | Clinical Medical Laboratory | 13245 Kessler Rd, Cairo, IL 62914-3101 | 2006-03-22 |
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1083232946 | Sjs Medical Labs, LLC D/b/a Arcpoint Labs of Libertyville | Clinical Medical Laboratory | 1659 Northwind Blvd, Libertyville, IL 60048-9613 | 2020-07-08 |
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1588280622 | Radiance Biosciences and Consultancy, LLC | Clinical Medical Laboratory | 1260 Iroquois Ave Ste 302, Naperville, IL 60563-8549 | 2020-06-24 |
1417573916 | Global Medical Solutionz Equipment & Transportation Co. | Clinical Medical Laboratory | 1334 Central Park Dr Ste 3, O Fallon, IL 62269-1784 | 2020-06-19 |
1538781174 | Harmone Labs, LLC | Clinical Medical Laboratory | 1622 S Taylorville Rd, Decatur, IL 62521-3951 | 2020-05-16 |
1225659204 | Gist Entities, LLC | Clinical Medical Laboratory | 11006 W 179th St, Orland Park, IL 60467-9440 | 2020-05-01 |
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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.