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: August 16, 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
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

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.

Nurse Practitioner (Family)
1250 W WHITTAKER ST
SALEM, IL 62881
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Nurse Practitioner
1250 W WHITTAKER ST
SALEM, IL 62881
Family Medicine
1250 W WHITTAKER ST
SALEM, IL 62881
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Physical Medicine & Rehabilitation
1250 W WHITTAKER ST
SALEM, IL 62881
Family Medicine
1250 W WHITTAKER ST
SALEM, IL 62881

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 1619109543. It was assigned to this organization in the NPPES registry on August 11, 2009. 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 1250 W Whittaker St, Salem, IL 62881. The listed phone number is (618) 532-3950.

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 August 11, 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.