Benton Community Healthcare

LBN: Southern Illinois Medical Services, Nfp
Benton Community Healthcare is an health care organization with primary practice located at 203 Bailey Ln , Benton IL 62812-1969. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Southern Illinois Medical Services, Nfp can be contacted via phone (618) 438-5670, or through Budde, Rex P via phone (618) 457-5200.

Contact Information

Primary practice address
203 Bailey Ln Benton IL 62812-1969
Phone: (618) 438-5670
Fax: (618) 438-5709
Website:
Map and Directions
Authorized official contact:
Name: Budde, Rex P
Phone: (618) 457-5200

Health care specialties

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

Profile Details

NPI number 1982845137
LBN Legal business name Southern Illinois Medical Services, Nfp
DBA Doing business as Benton Community Healthcare
Authorized official Budde, Rex P
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 18th, 2009
Last updated Mar 18th, 2009 - about 16 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 1982845137 NPPES
Illinois MEDICAID XXXXXXXXX002

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