Southernmost Illinois Community Health Improvement Corporation

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION

Practice address

13289 Kessler Rd
Suite 138
Cairo, IL 62914-3101

Phone

(618) 734-1500

NPI assigned

Dec 23, 2013

Organization subpart

Yes

Parent organization

SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Frederick Bernstein

Title

Ceo

Phone

(618) 734-1500

Specialties & licenses 1

Addresses

Other names 1

• Cairo Diagnostic Center Doing business as

Part of

Southernmost Illinois C

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Southernmost Illinois Community Health Improvement Corporation

  • Community Health Clinic/Center
  • Cairo, IL
  • NPI 1487099578
  NPPES parent name

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1326469032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13289 KESSLER RD",
            "address_2": "SUITE 138",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13289 KESSLER RD",
            "address_2": "SUITE 138",
            "city": "CAIRO",
            "state": "IL",
            "postal_code": "629143101",
            "telephone_number": "618-734-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-734-1500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cairo Diagnostic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marva Purchase, BS MHP
• Arlene Schoen, BS, MHP
• James A Schwab, MD
• Tasha Simmerman, BA MHP
• Sarah Sims
• Southernmost Illinois Community Health Improvement Corporation
• Southernmost Illinois Community Health Improvement Corporation
• Southernmost Illinois Community Health Improvement Corporation
• Southernmost Illinois Community Health Improvement Corporation
• Latrina Spence, BS, MHP

• All providers in Cairo, IL
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.