PRIMARY CARE GROUP
NPI 1750705364
Clinic/Center - Rural Health in Harrisburg, IL

NPI Status: Active since February 18, 2014

Contact Information

117 E CLARK ST
HARRISBURG, IL
ZIP 62946
Phone: (618) 252-8625
Fax: (618) 351-4859

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  • Organization
  • Clinic/Center
  • Rural Health

About PRIMARY CARE GROUP

This page provides the complete NPI Profile along with additional information for Primary Care Group, a primary care provider established in Harrisburg, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1750705364 assigned on February 2014. The practitioner's primary taxonomy code is 261QR1300X with license number 036042756 (IL). The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Primary Care Group. The authorized official of this NPI record is Warren P Ladner (Senior Vp Chief Financial Officer)

NPI
1750705364
Provider Legal Name
SOUTHERN ILLINOIS MEDICAL SERVICES, NFP
Other Organization Name
PRIMARY CARE GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
117 E CLARK ST HARRISBURG, IL 62946
Location Phone
(618) 252-8625
Location Fax
(618) 351-4859
Mailing Address
PO BOX 3988 CARBONDALE, IL 62902
Mailing Phone
(618) 457-5200
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-18-2014
Last Update Date
01-07-2025
Code Navigator

A primary care provider (PCP) like Primary Care Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities
License No.
036042756
License State
IL

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

WARREN P LADNER

Authorized Official Title
SENIOR VP CHIEF FINANCIAL OFFICER
Authorized Official Phone
(618) 457-5200

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750705364
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710014010312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 1 + 0 + 3 + 1 + 2 + 24 = 46
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 46 = 44

The NPI number 1750705364 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

HARRISBURG FAMILY PRACTICE LTD

Family Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MR. CHARLES E SETEN MD

Internal Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MR. MICHAEL L YORK MD

Internal Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

KELLEY N GATES RD

Dietitian, Registered

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

SHERRY L LIVINGSTON RNCPNP

Clinical Nurse Specialist

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

DIANNA QUESTELLE

Massage Therapist

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MR. VINAY K MEHTA M.D.F.A.C.S.

Surgery

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MR. STEVEN D KNIGHT

Family Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MR. LARRY R JONES MD

Family Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

JAMES B PARDUS PT

Physical Therapist

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

DR. JENNIFER MARIE SCAGLIOLA D.O.

Surgery

117 E CLARK ST
SIH MEDICAL GROUP PRIMARY CARE HARRISBURG
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MRS. OPAL K OSMAN N.P.

Nurse Practitioner

(Family)

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MRS. KATHERINE EMILY JONES LCSW

Social Worker

(Clinical)

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 927-8942

MRS. DEBORAH DAVIS CNP

Nurse Practitioner

(Women's Health)

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

JOSEPH BAXTER DPT

Physical Therapist

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 294-9326

ANNE MELINDA CLAYTON LCSW

Social Worker

(Clinical)

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

DR. ROGER D WATTERS MD

Family Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

DR. SHANNON B RIDER MD

Internal Medicine

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

KELLY L PHELPS PA-C

Physician Assistant

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

MRS. AMANDA JO BROWN NP

Nurse Practitioner

(Family)

117 E CLARK ST
HARRISBURG, IL
ZIP 62946

(618) 252-8625

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750705364, enumerated as an "organization" on February 18, 2014.

The provider is located at 117 E CLARK ST HARRISBURG, IL 62946 and the phone number is (618) 252-8625.

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