Southernmost Illinois Community Health Improvement Corporation
Organization Active NPI Clinical Medical Laboratory · Cairo, IL
NPI 1912347485 · NPPES record last updated Aug 9, 2013
Key facts
- NPI
- 1912347485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
- Practice address
- 13289 Kessler Rd
Cairo, IL 62914-3101 - Phone
- (618) 734-1500
- Fax
- (618) 734-9152
- NPI assigned
- Jun 28, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- SOUTHERNMOST ILLINOIS COMMUNITY HEALTH IMPROVEMENT CORPORATION
Authorized official
- Name
- Mr. Frederick L Bernstein
- Title
- C.E.O.
- Phone
- (618) 457-0450
Parent organization (reported in NPPES) 1
Practitioners 9
-
Elizabeth Ann Bebout, PAC
-
Rebekah B Bogan, FNP
-
Robert Daniel Dansby III, APRN
-
Leon Gauthier, PA-C
-
Maureen Jane Klemme, CNP
-
Razia Sami, M.D
-
Natasha Charlyn Shafer, FNP-BC
-
Nelson Kirk Wong, MD
National Provider Directory
- Part of
- Southernmost Illinois C
Locations
13289 Kessler Rd
Ste 103
Cairo, IL 62914
Phone (618) 734-1500
13289 Kessler Rd
Cairo, IL 62914
Phone (618) 734-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
13289 Kessler Rd
Cairo, IL 62914-3101
Mailing address
13289 Kessler Rd
Cairo, IL 62914-3101
Phone (618) 734-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D0436489 | Other | CLIA# |
Other names
- Cairo Diagnostic Center Laboratory
Other providers in Cairo, IL
- 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
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- Carol Stout
- Kimberly Jane Turner
- Vna Homecare, Inc.
- Bernard Williams
All providers in Cairo, IL · Clinical Medical Laboratory in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.