SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
NPI 1215204938
Clinic/Center - Rural Health in West Frankfort, IL

Q: What is Southern Illinois Medical Services, Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since November 23, 2011

502 W SAINT LOUIS ST STE 4, WEST FRANKFORT, IL 62896(618) 997-3400(618) 932-9010 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 13, 2025, Jan 7, 2025 (2 updates tracked since 2025).

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About Southern Illinois Medical Services, Nfp NPPES

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

SOUTHERN ILLINOIS MEDICAL SERVICES, NFP (NPI 1215204938), doing business as Logan Primary Care Service, is a healthcare organization registered as a rural health in West Frankfort, Illinois and active in the NPI registry since November 2011. The organization lists Warren P Ladner, Senior Vp Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1215204938

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameSOUTHERN ILLINOIS MEDICAL SERVICES, NFP

Location Address502 W SAINT LOUIS ST STE 4West Frankfort, IL 62896-1968

Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200

Phone(618) 997-3400

Fax(618) 932-9010

Organization SubpartYesParent: Southern Illinois Hospital Services

Authorized OfficialWarren P LadnerSenior Vp Chief Financial Officer · (618) 457-5200

Enumeration DateNovember 23, 2011

Last NPPES UpdateAugust 13, 20252 updates tracked since enumeration

NPPES CertifiedAugust 13, 2025

✔ NPI 1215204938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

502 W SAINT LOUIS ST STE 4, West Frankfort, IL 62896

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Other Names 1

Doing Business AsLogan Primary Care Service

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 7

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

TRAVIS MICHAEL SEDDON NP-C

Nurse Practitioner