SOUTHERN ILLINOIS HOSPITAL SERVICES
NPI 1093801797
General Acute Care Hospital in Carbondale, IL
About Southern Illinois Hospital Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ILLINOIS HOSPITAL SERVICES (NPI 1093801797), doing business as Memorial Hospital Of Carbondale, 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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern Illinois Hospital Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Southern Illinois Hospital Services, which bills Medicare for the services they deliver. Of these, 21 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 27Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Southern Illinois Hospital Services enrolled in Medicare?
Yes. Southern Illinois Hospital Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Illinois Hospital Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 5 Medicare specialties reassign their Medicare billing to Southern Illinois Hospital Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (19), Internal Medicine (3) and Interventional Cardiology (2). Of these, 21 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern Illinois Hospital Services was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Southern Illinois Hospital Services · NPI 1093801797
General Acute Care Hospital organization in Carbondale, Illinois. Organization record, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1093801797 (Entity type: Organization)
- **Enumerated:** October 4, 2006
- **Primary specialty:** General Acute Care Hospital · taxonomy 282N00000X
- **Also known as:** Memorial Hospital of Carbondale (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Shannon Hartke, CORPORATE DIRECTOR, PATIENT FINANCI
## Practice location
- **Address:** 405 W JACKSON, Carbondale, IL 62901-1000
- **Phone:** (618) 457-5200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (19), Internal Medicine (3), Interventional Cardiology (2); 21 practice within 10 miles; [full list](https://npiprofile.com/npi/1093801797/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 18, 2026
- **Other identifiers:** Other 0000513 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1093801797) · Data from the CMS NPPES public registry.