institution
Physician Services Corporation Of Southern Illinois Inc
Rural Health Clinic/Center in Centralia, Illinois
NPI 1780688671

Physician Services Corporation Of Southern Illinois Inc is a Rural Health Clinic/Center based in Centralia, IL and is specialized in Rural Health. Physician Services Corporation Of Southern Illinois Inc practices in Centralia, IL. The NPI Number for Physician Services Corporation Of Southern Illinois Inc is 1780688671 and holds a License No. 0002642 (Illinois).

The current practice location address for Physician Services Corporation Of Southern Illinois Inc is 1441 W Broadway, Centralia, IL and can be reached out via phone at 618-532-9050. You can also correspond with Physician Services Corporation Of Southern Illinois Inc through the mailing address at 1411 W BROADWAY, CENTRALIA, IL - 62801-0001 (mailing address contact number: 618-532-9050).

Location: 1441 W Broadway, Centralia, IL, 62801-0001
institution
Provider Profile Details
NPI Number
1780688671
Provider Name
Physician Services Corporation Of Southern Illinois Inc
Credential
Provider Entity Type
Organization
Address
1441 W Broadway, Centralia, IL, 62801-0001
Phone Number
618-532-9050
Fax Number
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831101807 01 IL NPI PSCSI GRP
institution
Provider Business Practice Location Address Details
Address
1441 W Broadway
City
State
Zip
62801-0001
Phone Number
618-532-9050
Fax Number
person
Provider Business Mailing Address Details
Address
1411 W Broadway
City
State
Zip
62801-0001
Phone Number
618-532-9050
Fax Number
618-532-9365
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
0002642 (Illinois)
Definition
Definition to come...
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