ST. MARY'S GOOD SAMARITAN MEDICAL GROUP
NPI 1215320460
Non-Pharmacy Dispensing Site in Centralia, IL
About St. Mary's Good Samaritan Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST. MARY'S GOOD SAMARITAN MEDICAL GROUP (NPI 1215320460) is a healthcare organization registered as a non-pharmacy dispensing site in Centralia, Illinois and active in the NPI registry since March 2015. The organization lists Deland Evischi, Vp Finance Smgsmg, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Other Names 1
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTRALIA, IL 62801
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 Physician Services Corporation Of Southern Illinois Inc's NPI number?
The NPI number for Physician Services Corporation Of Southern Illinois Inc is 1215320460. It was assigned to this organization in the NPPES registry on March 12, 2015. The provider is doing business as St. Mary's Good Samaritan Medical Group.
Where is Physician Services Corporation Of Southern Illinois Inc located?
Physician Services Corporation Of Southern Illinois Inc is located at 1003 E Mccord St, Centralia, IL 62801. The listed phone number is (618) 436-6633.
What is Physician Services Corporation Of Southern Illinois Inc's specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
When was this NPI record last updated?
The NPPES record for Physician Services Corporation Of Southern Illinois Inc was last updated on March 12, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.
