Marion Rural Health Clinic

LBN: Health Plan Of Southern Illinois, Inc.
Marion Rural Health Clinic is an health care organization with primary practice located at 1028 N Market St , Marion IL 62959-2220. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Health Plan Of Southern Illinois, Inc. can be contacted via phone (618) 993-8913, or through Durham, James via phone (618) 439-3706.

Contact Information

Primary practice address
1028 N Market St Marion IL 62959-2220
Fax: (618) 997-2867
Website:
Authorized official contact:
Name: Durham, James Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1083602973
LBN Legal business name Health Plan Of Southern Illinois, Inc.
DBA Doing business as Marion Rural Health Clinic
Authorized official Durham, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2005
Last updated Jan 23rd, 2009 - about 15 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1083602973 NPPES
Illinois Other 2815503 BCBS

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