NPIMap

Organization Active NPI

Southern Illinois Hospital Services

Doing business as Herrin Hospital

  • Physical Therapy Clinic/Center
  • Herrin, IL
National Provider Identifier
1285540427
Registry record updated Aug 19, 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
Herrin Hospital
Practice address
3100 S Park Ave
Herrin, IL 62948-3720
Phone
(618) 993-4024
NPI assigned
Aug 19, 2026
Last updated
Aug 19, 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 19, 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 PFS
Phone
(618) 457-5200

Specialties & licenses 1

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

Addresses

Primary practice location

3100 S Park Ave
Herrin, IL 62948-3720

Mailing address

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

Other names 1

  • HERRIN HOSPITAL 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

Locations

3100 S Park Ave
Herrin, IL 62948
Phone (618) 993-4024

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1787097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787097600000",
    "number": "1285540427",
    "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": "3100 S PARK AVE",
            "city": "HERRIN",
            "state": "IL",
            "postal_code": "629483720",
            "telephone_number": "618-993-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN ILLINOIS HOSPITAL SERVICES",
        "enumeration_date": "2026-08-19",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A",
        "authorized_official_last_name": "HARTKE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR 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": "HERRIN HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herrin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.