Health Plan of Southern Illinois, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEALTH PLAN OF SOUTHERN ILLINOIS, INC.

Doing business as

Franklin Rural Health Clinic II

Practice address

108 Egyptian Ave
Christopher, IL 62822-1642

Phone

(618) 724-2486

Fax

(618) 724-7555

NPI assigned

Oct 13, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Durham, M.D.

Title

Medical Director

Phone

(618) 439-3706

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Franklin Rural Health Clinic II Doing business as

Locations

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295723187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 EGYPTIAN AVE",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628221642",
            "telephone_number": "618-724-2486",
            "fax_number": "618-724-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 EGYPTIAN AVE",
            "city": "CHRISTOPHER",
            "state": "IL",
            "postal_code": "628221642",
            "telephone_number": "618-724-2486",
            "fax_number": "618-724-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH PLAN OF SOUTHERN ILLINOIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "618-439-3706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2815503",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Franklin Rural Health Clinic II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Diane George, LPN
• Julie Giacone, R.PH.
• Chloe Glass, RN
• Denise M Gray, LPN
• Diana G Hanner, RN
• Michelle L Hensgen, RN
• Ginger G Hill, PHARMACY TECHNICIAN
• Alexia Lee Hobbs
• Artemus Holguin-Mills, MD
• Melanie Hooker, CPHT

• Rural Health Clinic/Center in Christopher, IL
• Providers in Christopher, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.