Southside Medical Clinic Inc
NPI 1497823314 · Rural Health Clinic/Center · Mount Vernon, IL
Southside Medical Clinic Inc is a Rural Health Clinic/Center organization in Mount Vernon, IL (NPI 1497823314).
Provider details
- NPI number
- 1497823314
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Melvin, Executive Director(618) 242-2745
- License
- 001 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2022-07-21
Frequently asked questions
- What is Southside Medical Clinic Inc's NPI number?
- Southside Medical Clinic Inc's National Provider Identifier (NPI) is 1497823314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Medical Clinic Inc?
- Southside Medical Clinic Inc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southside Medical Clinic Inc located?
- Southside Medical Clinic Inc's practice location on file with NPPES is 913 South 10th Street, Mount Vernon, IL 62864-5313.
- What is Southside Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Southside Medical Clinic Inc is (618) 242-2745.
- Who is the authorized official for Southside Medical Clinic Inc?
- The authorized official listed on Southside Medical Clinic Inc's NPPES record is Bruce Melvin, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Medical Clinic Inc's NPI active?
- Yes — Southside Medical Clinic Inc's NPI (1497823314) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.