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MEMORIAL HOSPITAL OF CARBONDALE
NPI 1093801797
General Acute Care Hospital in Carbondale, IL

Active since October 04, 2006
405 W JACKSON, CARBONDALE, IL 62901(618) 457-5200 Get Directions Write a Review

NPPES record last updated: February 5, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Memorial Hospital Of Carbondale NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HOSPITAL OF CARBONDALE (NPI 1093801797) is a healthcare organization registered as a general acute care hospital in Carbondale, Illinois and active in the NPI registry since October 2006. The organization lists Shannon Hartke, Corporate Director, Patient Financi, as its authorized official.

NPPES Registry Identity

NPI1093801797
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSOUTHERN ILLINOIS HOSPITAL SERVICES
Location Address405 W JACKSONCarbondale, IL 62901-1000
Mailing Address1239 E. Main, Po Box 3988Carbondale, IL 62901-3988 · (618) 457-5200
Phone(618) 457-5200
Organization SubpartNo
Authorized OfficialShannon HartkeCorporate Director, Patient Financi · (618) 457-5200
Enumeration DateOctober 4, 2006
Last NPPES UpdateFebruary 5, 2013
✔ NPI 1093801797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IL · 0000513
Definition
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
405 W JACKSON, Carbondale, IL 62901
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Other Names 1

Doing Business AsMemorial Hospital Of Carbondale

Other Identifiers 7

Medicare PINDE1812IL
Medicare PIN813990IL
Medicare PINCA0879IL
Medicare ID-Type Unspecified813900IL · Medicare Part B Provider
Medicare PIN203944IL
Medicare ID-Type Unspecified140164IL · Medicare Provider Number
Other0000513IL · State Of Il License Numbe

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. AMY MARIE SURBURG ANP
Nurse Practitioner (Adult Health)
405 W JACKSON, PRE-ANESTHESIA DEPARTMENT
CARBONDALE, IL 62901
Jackson County (618) 549-0721
DR. SATYANARAYANA RAO VAIDYA MD
Internal Medicine
405 W JACKSON
CARBONDALE, IL 62901
Jackson County (618) 549-0721

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southern Illinois Hospital Services's NPI number?

The NPI number for Southern Illinois Hospital Services is 1093801797. It was assigned to this organization in the NPPES registry on October 4, 2006. The provider is doing business as Memorial Hospital Of Carbondale.

Where is Southern Illinois Hospital Services located?

Southern Illinois Hospital Services is located at 405 W Jackson, Carbondale, IL 62901. The listed phone number is (618) 457-5200.

What is Southern Illinois Hospital Services's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Southern Illinois Hospital Services was last updated on February 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.