ST MARYS GOOD SAMARITAN MEDICAL GROUP
NPI 1548264237
Clinic/Center - Rural Health in Mount Vernon, IL
About St Marys Good Samaritan Medical Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ST MARYS GOOD SAMARITAN MEDICAL GROUP (NPI 1548264237) is a healthcare organization registered as a rural health in Mount Vernon, Illinois and active in the NPI registry since June 2005. The organization lists Richard Huntington, Vp Financial Development, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
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 Corp Of Southern Illinois's NPI number?
The NPI number for Physician Services Corp Of Southern Illinois is 1548264237. It was assigned to this organization in the NPPES registry on June 9, 2005. The provider is doing business as St Marys Good Samaritan Medical Group.
Where is Physician Services Corp Of Southern Illinois located?
Physician Services Corp Of Southern Illinois is located at 8 Cusumano Professional Plaza Dr, Mount Vernon, IL 62864. The listed phone number is (618) 242-7819.
What is Physician Services Corp Of Southern Illinois's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
When was this NPI record last updated?
The NPPES record for Physician Services Corp Of Southern Illinois was last updated on April 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# St Marys Good Samaritan Medical Group · NPI 1548264237
Rural Health organization in Mount Vernon, Illinois. Organization record, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1548264237 (Entity type: Organization)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Physician Services Corp Of Southern Illinois
- **Organization subpart:** Yes (part of Physician Services Corp Of Southern Illinois)
- **Authorized official:** Richard Huntington, VP FINANCIAL DEVELOPMENT
## Practice location
- **Address:** 8 CUSUMANO PROFESSIONAL PLAZA DR, Mount Vernon, IL 62864-6736
- **Phone:** (618) 242-7819
## Record status
- **NPPES last updated:** April 2, 2009
- **Other identifiers:** Medicare OSCAR/certification 143402 (IL); Medicaid 430653587005 (IL); Medicare OSCAR/certification 783802 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1548264237) · Data from the CMS NPPES public registry.