Southern Illinois Imaging

LBN: Deaconess Illinois Crossroads Inc
Southern Illinois Imaging is an health care organization with primary practice located at 4119 S Water Tower Pl Ste A , Mount Vernon IL 62864-6293. The organization recently has only one registered license in Ambulatory Health Care Facilities / Radiology, which is considered as the primary health care specialty. Deaconess Illinois Crossroads Inc can be contacted via phone (618) 246-9595, or through Stimpson, Jared via phone (812) 450-8287.

Contact Information

Primary practice address
4119 S Water Tower Pl Ste A Mount Vernon IL 62864-6293
Phone: (618) 246-9595
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stimpson, Jared
Phone: (812) 450-8287

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1548986839
LBN Legal business name Deaconess Illinois Crossroads Inc
DBA Doing business as Southern Illinois Imaging
Authorized official Stimpson, Jared
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2022
Last updated Jan 11th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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