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MEMORIAL HOSPITAL OF CARBONDALE
NPI 1235525270
Pharmacy - Institutional Pharmacy in Carbondale, IL

Active since April 07, 2015CLIA 14D0436426 · Accreditation
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721(618) 529-0475 Get Directions Write a Review

NPPES record last updated: April 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Hospital Of Carbondale NPPES

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

MEMORIAL HOSPITAL OF CARBONDALE (NPI 1235525270) is a healthcare organization registered as an institutional pharmacy in Carbondale, Illinois and active in the NPI registry since April 2015. The organization holds an CLIA Accreditation certificate valid through June 13, 2027 and lists Trista Giacomo, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1235525270
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameSOUTHERN ILLINOIS HOSPITAL SERVICES
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address405 W Jackson StCarbondale, IL 62901-1462 · (618) 549-0721 · Fax (618) 529-0475
Phone(618) 549-0721
Fax(618) 529-0475
Organization SubpartNo
Authorized OfficialTrista GiacomoPharmacy Manager · (618) 549-0721
Enumeration DateApril 7, 2015
✔ NPI 1235525270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
License✔ Licensed in IL · 054017053
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
405 W JACKSON ST, Carbondale, IL 62901
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Other Names 1

Doing Business AsMemorial Hospital Of Carbondale

Other Identifiers 1

Other2150884Pk

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 Accreditation 14D0436426

Memorial Hospital Of Carbondale · Carbondale, IL
Active · expires Jun 13, 2027
CLIA Number14D0436426
Laboratory TypeHospital
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorDr. Kevin G. Neill
Laboratory Phone(618) 549-0721
Laboratory LocationMemorial Hospital Of Carbondale405 West Jackson Street, Carbondale, IL 62902
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

MR. LUKAS WARD PA
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
RUPAL PARMAR M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
SCOTT A. COOPER M.D.
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Jackson County (618) 549-0721
LONG HA HUYNH M.D., PH.D.
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. BRITNEY NICOLE ARNOLD PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MR. DAN EDWARD MILLER CRNA
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
AMANDA M RYDEN MD
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721
MS. NICOLE A JOHNSON PA-C
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Jackson County (618) 549-0721

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 1235525270. It was assigned to this organization in the NPPES registry on April 7, 2015. 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 St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Southern Illinois Hospital Services's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Southern Illinois Hospital Services hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0436426) is associated with this NPI, valid through June 13, 2027. 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 April 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.