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: October 18, 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
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

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Frankfort Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to West Frankfort Family Medicine, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Family Practice19
Internal Medicine3
Interventional Cardiology2
Nurse Practitioner2
Cardiovascular Disease (Cardiology)1

Nearest to this location (20)

See all 27
Nurse Practitioner
NPI 1972589919
2553 KEN GRAY BLVD
West Frankfort, IL 62896
(618) 932-3937
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1851399976
201 BAILEY LANE
Benton, IL 62812
(618) 439-3161
✔ PECOS✔ Accepts Medicare7.8 mi
Internal Medicine
NPI 1548263668
315 S 13TH ST STE 2
Herrin, IL 62948
(618) 942-5883
✔ PECOS8.0 mi
Internal Medicine
NPI 1841344876
405 RUSHING DR
Herrin, IL 62948
(618) 993-3300
✔ PECOS11 mi
Family Practice
NPI 1851377717
405 W JACKSON ST
Carbondale, IL 62901
(618) 457-5200
✔ PECOS✔ Accepts Medicare12 mi
Family Practice
NPI 1447514971
2250 REED STATION PKWY STE 305
Carbondale, IL 62901
(618) 457-4999
✔ PECOS✔ Accepts Medicare16 mi
Internal Medicine
NPI 1790834828
721 S LEWIS LN
Carbondale, IL 62901
(618) 457-4999
✔ PECOS✔ Accepts Medicare18 mi
Interventional Cardiology
NPI 1164572095
409 W OAK ST
Carbondale, IL 62901
(618) 529-4455
✔ PECOS✔ Accepts Medicare18 mi
Cardiovascular Disease (Cardiology)
NPI 1003997560
409 W OAK ST
Carbondale, IL 62901
(618) 529-4455
✔ PECOS✔ Accepts Medicare18 mi
Interventional Cardiology
NPI 1902988009
409 W OAK ST
Carbondale, IL 62901
(618) 529-4455
✔ PECOS✔ Accepts Medicare18 mi
Family Practice
NPI 1942208988
300 W OAK ST
Carbondale, IL 62901
(217) 545-8000
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1770635062
300 W OAK ST
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1821583964
300 W OAK ST STE 200
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1104824598
300 W OAK ST
Carbondale, IL 62901
(217) 545-8000
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1982272183
300 W OAK ST STE 200
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1588222608
300 W OAK ST
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1295711240
305 W JACKSON ST STE 200
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1861466393
305 W JACKSON ST STE 200
Carbondale, IL 62901
(618) 453-7777
✔ PECOS19 mi
Family Practice
NPI 1386976298
305 W JACKSON ST STE 200
Carbondale, IL 62901
(618) 453-7777
✔ PECOS✔ Accepts Medicare19 mi
Family Practice
NPI 1215913181
305 W JACKSON ST STE 200
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare19 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.

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, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

What insurance does Southern Illinois Hospital Services accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Southern Illinois Hospital Services as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 21 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.