Memorial Hospital Of Carbondale

LBN: Southern Illinois Hospital Services
Memorial Hospital Of Carbondale is an health care organization with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. The organization recently has only one registered license in Suppliers / Institutional Pharmacy, which is considered as the primary health care specialty. Southern Illinois Hospital Services can be contacted via phone (618) 549-0721, or through Giacomo, Trista via phone (618) 549-0721.

Contact Information

Primary practice address
405 W Jackson St Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 529-0475
Website:
Map and Directions
Authorized official contact:
Name: Giacomo, Trista
Phone: (618) 549-0721

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Institutional Pharmacy 3336I0012X 054017053 Illinois

Profile Details

NPI number 1235525270
LBN Legal business name Southern Illinois Hospital Services
DBA Doing business as Memorial Hospital Of Carbondale
Authorized official Giacomo, Trista
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2015
Last updated Apr 7th, 2015 - about 9 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 1235525270 NPPES
Other 2150884 PK

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