Southern Illinois Harm Reduction NFP

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

SOUTHERN ILLINOIS HARM REDUCTION NFP

Practice address

8820 State Route 1 Ste 3
Lawrenceville, IL 62439-4897

Phone

(618) 554-6084

NPI assigned

Dec 19, 2023

Organization subpart

No

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

Authorized official

Name

Marcus D Hyre

Title

Executive Director

Phone

(618) 554-6084

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1598533523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11336 COLLINS LN",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394102",
            "telephone_number": "618-554-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 STATE ROUTE 1 STE 3",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624394897",
            "telephone_number": "618-554-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS HARM REDUCTION NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "HYRE",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "618-554-6084"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Shoulders
• Laci J Shue
• Ashley Ann Smith, DPM
• Shambly Dawn Sorrells
• South Eastern Illinois Counseling Center Inc
• Taylor Spencer
• Steven M. Ramsaran, MD
• Abbygayle Stillwell
• Brittany Stoltz
• Jodi Stone, MHP

• Community Health Clinic/Center in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• Community Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.