OrganizationActive
Southern Illinois Surgical Appliance Co.
NPI 1720199748 · Durable Medical Equipment & Medical Supplies · Carbondale, IL
Provider details
- NPI number
- 1720199748
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Southern Illiniois Surgical Appliance
- Organization subpart
- Yes
- Authorized official
- Ralph Lewis, President(618) 932-3157
- License
- 2032-1120 (IL)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(90/100 index)
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
1301 W Main St
Carbondale, IL 62901-2227
Phone: (618) 529-2406
Fax: (618) 351-7466
Street-level locationGet directions
Mailing address
Po Box 1667
Mount Vernon, IL 62864-0033
Other names (DBA / former)
- Doing business as
- Sisa Home Medical
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2010-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.