SSM HEALTH MEDICAL GROUP
NPI 1780688671
Clinic/Center - Rural Health in Centralia, IL

Active since June 08, 2005
1441 W BROADWAY, CENTRALIA, IL 62801(618) 532-9050 Get Directions Write a Review

NPPES record last updated: August 26, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ssm Health Medical Group NPPES

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

SSM HEALTH MEDICAL GROUP (NPI 1780688671) is a healthcare organization registered as a rural health in Centralia, Illinois and active in the NPI registry since June 2005. The organization lists Dee Evischi, Vp Finance Medical Group, as its authorized official.

NPPES Registry Identity

NPI1780688671
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePHYSICIAN SERVICES CORPORATION OF SOUTHERN ILLINOIS INC
Location Address1441 W BROADWAYCentralia, IL 62801-0001
Mailing Address1411 W BroadwayCentralia, IL 62801-0001 · (618) 532-9050 · Fax (618) 532-9365
Organization SubpartNo
Authorized OfficialDee EvischiVp Finance Medical Group · (618) 899-1040
Enumeration DateJune 8, 2005
Last NPPES UpdateAugust 26, 2015
NPI 1780688671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in IL · 0002642
1441 W BROADWAY, Centralia, IL 62801

Other Names 1

Doing Business AsSsm Health Medical Group

Other Identifiers 3

Medicare OSCAR/certification783803IL
Medicaid=========0031IL
Other1831101807IL · Npi Pscsi Grp

Accepted Insurance

Other Providers at the Same Location NPPES 10

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

Internal Medicine
1441 W BROADWAY
CENTRALIA, IL 62801
Family Medicine
1441 W BROADWAY
CENTRALIA, IL 62801
Physical Medicine & Rehabilitation
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner
1441 W BROADWAY
CENTRALIA, IL 62801
Physician Assistant
1441 W BROADWAY
CENTRALIA, IL 62801
Nurse Practitioner (Women's Health)
1441 W BROADWAY
CENTRALIA, IL 62801

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 Inc's NPI number?

The NPI number for Physician Services Corporation Of Southern Illinois Inc is 1780688671. It was assigned to this organization in the NPPES registry on June 8, 2005. The provider is doing business as Ssm Health Medical Group.

Where is Physician Services Corporation Of Southern Illinois Inc located?

Physician Services Corporation Of Southern Illinois Inc is located at 1441 W Broadway, Centralia, IL 62801. The listed phone number is (618) 532-9050.

What is Physician Services Corporation Of Southern Illinois Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Physician Services Corporation Of Southern Illinois Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Physician Services Corporation Of Southern Illinois Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Physician Services Corporation Of Southern Illinois Inc was last updated on August 26, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.