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ST MARYS GOOD SAMARITAN MEDICAL GROUP
NPI 1619109543
Clinic/Center - Rural Health in Salem, IL

Active since August 11, 2009
1250 W WHITTAKER ST, SALEM, IL 62881(618) 532-3950(618) 532-9365 Get Directions Write a Review

NPPES record last updated: August 11, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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 1619109543) is a healthcare organization registered as a rural health in Salem, Illinois and active in the NPI registry since August 2009. The organization lists Richard Huntington, Vp Financial Development, as its authorized official.

NPPES Registry Identity

NPI1619109543
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHYSICIAN SERVICES CORP OF SOUTHERN ILLINOIS
Location Address1250 W WHITTAKER STSalem, IL 62881-1917
Mailing Address413 Main StMount Vernon, IL 62864-3649 · (618) 532-3950 · Fax (618) 532-9365
Phone(618) 532-3950
Fax(618) 532-9365
Organization SubpartYesParent: Physican Sevices Corp Of Southern Illinois
Authorized OfficialRichard HuntingtonVp Financial Development · (618) 241-2204
Enumeration DateAugust 11, 2009
✔ NPI 1619109543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1250 W WHITTAKER ST, Salem, IL 62881
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Other Names 1

Doing Business AsSt Marys Good Samaritan Medical Group

Other Identifiers 1

Medicare OSCAR/certification148998IL

Other Providers at the Same Location NPPES 9

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

MS. TRISHA BASS PT
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 241-2128
MR. MICHAEL SMITH PT
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 241-2128
KEITH SHAW PT
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3769
ROGER YOUNG NP
Nurse Practitioner
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3740
DR. MAHVISH ZAHOOR MD
Family Medicine
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3740
MARY K PIPER FNP
Family Medicine
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3740
MRS. KAREN HUELSMANN PT
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3769
KATHERN JOAN NORMAN NP
Nurse Practitioner (Family)
1250 W WHITTAKER ST
SALEM, IL 62881
Marion County (618) 548-3740

Frequently Asked Questions

What is PHYSICIAN SERVICES CORP OF SOUTHERN ILLINOIS's NPI number?

The NPI number assigned to this healthcare provider is 1619109543, enumerated as an "organization" on August 11, 2009.

Where is the provider located?

The provider is located at 1250 W WHITTAKER ST SALEM, IL 62881 and the phone number is (618) 532-3950.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

What insurance does PHYSICIAN SERVICES CORP OF SOUTHERN ILLINOIS accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.