OrganizationActive
Physician Services Corporation of Southern Illinois Inc
NPI 1780688671 · Rural Health Clinic/Center · Centralia, IL
Provider details
- NPI number
- 1780688671
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dee Evischi, Vp Finance Medical Group(618) 899-1040
- License
- 0002642 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1441 W Broadway
Centralia, IL 62801-0001
Phone: (618) 532-9050
Approximate (ZIP-level) locationGet directions
Mailing address
1411 W Broadway
Centralia, IL 62801-0001
Other names (DBA / former)
- Doing business as
- Ssm Health Medical Group
Registry dates
- Enumerated
- 2005-06-08
- Last updated
- 2015-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.