Southern Illinois Treatment Center, LLC
NPI 1841858404 · Substance Use Disorder Rehabilitation Clinic/Center · Wood River, IL
Southern Illinois Treatment Center, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Wood River, IL (NPI 1841858404).
Provider details
- NPI number
- 1841858404
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bruce Jarvie, Vp, Treasurer(214) 379-3300
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Methadone Clinic261QM2800X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Other names (DBA / former)
- Doing business as
- Medmark Treatment Centers Wood River
Registry dates
- Enumerated
- 2019-05-30
- Last updated
- 2024-07-29
- Certified
- 2024-07-29
Frequently asked questions
- What is Southern Illinois Treatment Center, LLC's NPI number?
- Southern Illinois Treatment Center, LLC's National Provider Identifier (NPI) is 1841858404, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Illinois Treatment Center, LLC?
- Southern Illinois Treatment Center, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Illinois Treatment Center, LLC located?
- Southern Illinois Treatment Center, LLC's practice location on file with NPPES is 304 Wesley Dr Ste 302306, Wood River, IL 62095-2266.
- What is Southern Illinois Treatment Center, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Illinois Treatment Center, LLC is (618) 258-7592.
- Who is the authorized official for Southern Illinois Treatment Center, LLC?
- The authorized official listed on Southern Illinois Treatment Center, LLC's NPPES record is Bruce Jarvie, Vp, Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Illinois Treatment Center, LLC's NPI active?
- Yes — Southern Illinois Treatment Center, LLC's NPI (1841858404) is active in the NPPES registry as of the last update on 2024-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.