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WEST FRANKFORT FAMILY MEDICINE
NPI 1154408581
Family Medicine in West Frankfort, IL

Active since November 01, 2006CLIA 14D0667250 · Waiver
2553 KEN GRAY BLVD, WEST FRANKFORT, IL 62896(618) 932-3937(618) 932-2734 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 7, 2025, Sep 28, 2022 (2 updates tracked since 2022).

About West Frankfort Family Medicine NPPES

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

WEST FRANKFORT FAMILY MEDICINE (NPI 1154408581) is a healthcare organization registered as a family medicine in West Frankfort, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through July 4, 2028 and lists Warren P Ladner, Senior Vp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1154408581
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHERN ILLINOIS HOSPITAL SERVICES
Location Address2553 KEN GRAY BLVDWest Frankfort, IL 62896-4174
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 932-3937
Fax(618) 932-2734
Organization SubpartYes
Authorized OfficialWarren P LadnerSenior Vp Chief Financial Officer · (618) 457-5200
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1154408581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X
2553 KEN GRAY BLVD, West Frankfort, IL 62896
Open in Google Maps ↗

Other Names 1

Doing Business AsWest Frankfort Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0667250

West Frankfort Family Medicine · West Frankfort, IL
Active · expires Jul 4, 2028
CLIA Number14D0667250
Laboratory TypeOther
Certificate Effective DateJuly 5, 2026
Certificate Expiration DateJuly 4, 2028
Laboratory DirectorAndrew Yochum
Laboratory Phone(618) 932-3937
Laboratory LocationWest Frankfort Family Medicine2553 Ken Gray Blvd, West Frankfort, IL 62896
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

ALICIA D MARKLEY PA-C
Physician Assistant
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
Franklin County (618) 932-3937
MAX A BAIER NP
Nurse Practitioner
2553 KEN GRAY BLVD
WEST FRANKFORT, IL 62896
Franklin County (618) 932-3937

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 1154408581. It was assigned to this organization in the NPPES registry on November 1, 2006. The provider is doing business as West Frankfort Family Medicine.

Where is Southern Illinois Hospital Services located?

Southern Illinois Hospital Services is located at 2553 Ken Gray Blvd, West Frankfort, IL 62896. The listed phone number is (618) 932-3937.

What is Southern Illinois Hospital Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Southern Illinois Hospital Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0667250) is associated with this NPI, valid through July 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Southern Illinois Hospital Services was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.