NPIMap

Organization Active NPI

Southern Illinois Hospital Services

Doing business as Memorial Hospital of Carbondale

  • Physical Therapy Clinic/Center
  • Anna, IL
National Provider Identifier
1013832328
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTHERN ILLINOIS HOSPITAL SERVICES
Doing business as
Memorial Hospital of Carbondale
Practice address
1000 Leigh Ave Ste B
Anna, IL 62906-2232
Phone
(618) 833-1506
Fax
(618) 529-0565
NPI assigned
Aug 13, 2026
Last updated
Aug 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHERN ILLINOIS HOSPITAL SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shannon S Hartke
Title
Corporate Director of PFS
Phone
(618) 457-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

1000 Leigh Ave Ste B
Anna, IL 62906-2232

Mailing address

1239 E Main St
Carbondale, IL 62901-3175
Phone (618) 457-5200

Other names 1

  • MEMORIAL HOSPITAL OF CARBONDALE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital of Carbondale34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

Organizations that report the same tax identification number in the National Provider Directory.

View all 33

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1013832328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 E MAIN ST",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629013175",
            "telephone_number": "618-457-5200",
            "fax_number": "618-529-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LEIGH AVE STE B",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062232",
            "telephone_number": "618-833-1506",
            "fax_number": "618-529-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "HARTKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR OF PFS",
        "authorized_official_telephone_number": "618-457-5200"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEMORIAL HOSPITAL OF CARBONDALE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.