ST. MARYS GOOD SAMARITAN MEDICAL GROUP ULTRASOUND
NPI 1316271653
Clinic/Center in Mount Vernon, IL

Active since September 18, 2009
1708 JEFFERSON AVE, SUITE 100, MOUNT VERNON, IL 62864(618) 241-1856(618) 241-1857 Get Directions Write a Review

NPPES record last updated: September 18, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Marys Good Samaritan Medical Group Ultrasound NPPES

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

ST. MARYS GOOD SAMARITAN MEDICAL GROUP ULTRASOUND (NPI 1316271653) is a healthcare organization registered as a clinic/center in Mount Vernon, Illinois and active in the NPI registry since September 2009. The organization lists Richard Huntington, Vp Financial Services, as its authorized official.

NPPES Registry Identity

NPI1316271653
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS S.C
Location Address1708 JEFFERSON AVE, SUITE 100Mount Vernon, IL 62864-4309
Mailing Address413 Main StMount Vernon, IL 62864-3649 · (618) 532-9350 · Fax (618) 532-9365
Fax(618) 241-1857
Organization SubpartYesParent: Physician Services Corporation Of Southern Illinois S.c.
Authorized OfficialRichard HuntingtonVp Financial Services · (618) 241-2204
Enumeration DateSeptember 18, 2009
NPI 1316271653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1708 JEFFERSON AVE, Mount Vernon, IL 62864

Other Names 1

Doing Business AsSt. Marys Good Samaritan Medical Group Ultrasound

Other Providers at the Same Location NPPES

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

Obstetrics & Gynecology
1708 JEFFERSON AVE
MOUNT VERNON, IL 62864

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 S.C's NPI number?

The NPI number for Physician Services Corporation Of Southern Illinois S.C is 1316271653. It was assigned to this organization in the NPPES registry on September 18, 2009. The provider is doing business as St. Marys Good Samaritan Medical Group Ultrasound.

Where is Physician Services Corporation Of Southern Illinois S.C located?

Physician Services Corporation Of Southern Illinois S.C is located at 1708 Jefferson Ave Suite 100, Mount Vernon, IL 62864. The listed phone number is (618) 241-1856.

What is Physician Services Corporation Of Southern Illinois S.C's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Physician Services Corporation Of Southern Illinois S.C was last updated on September 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.