SOUTHERN ILLINOIS MEDICAL SERVICES, NFP – NPI #1538689062
Clinic/Center

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP is an AHC clinic located in ANNA, IL. NPPES has assigned the NPI number 1538689062 to SOUTHERN ILLINOIS MEDICAL SERVICES, NFP on June 26, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QR1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rural Health

The NPI profile was last updated on Apr 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SOUTHERN ILLINOIS MEDICAL SERVICES, NFP below.

NPI Profile for
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

NPI Number
1538689062
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Primary location
98 PEACH RIDGE RD
ANNA, IL 62906-2243
Phone: (618) 614-1400 Fax: (618) 614-1401
Mailing address
PO BOX 3988
CARBONDALE, IL 62902-3988
Phone: (618) 457-5200 Fax:
Organization Subpart
Yes - SOUTHERN ILLINOIS MEDICAL SERVICES, NFP is subpart of another organization.
Authorized Official
WARREN LADNER
SENIOR VP CHIEF FINANCIAL OFFICER
Phone: (618) 457-5200
Updated
Certification Date
Apr 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL1770656837
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR1300X
- Clinic/Center / Rural Health (Primary)
IL

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.