MID-SOUTH HEALTH CLINIC LLC – Rural Health Clinic/Center, NPI 1073595096

MID-SOUTH HEALTH CLINIC LLC is a healthcare provider. based in Alton, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 031640 (MO). The NPI Number for MID-SOUTH HEALTH CLINIC LLC is 1073595096

Main info

Organization
Name
MID-SOUTH HEALTH CLINIC LLC
NPI
1073595096
Phone
(618) 465-7717
Address
233 E CENTER DR
Authorized Official
JOETTA MARTIN ADMINISTRATOR
Enumeration Date
16 November 2005
Last Update Date
10 July 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MID-SOUTH HEALTH CLINIC LLC

  • 233, East Center Drive, Alton Square Mall, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 620025931

    Phone: (618) 465-7717

    Fax: (618) 465-7710

    Type: Mailing

  • 3100, Warrior Lane, Poplar Bluff, Butler County, Missouri, 63901, United States

    POPLAR BLUFF, MO 639018686

    Phone: (573) 785-0851

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62002)

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Reviews

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Frequently asked questions

Does MID-SOUTH HEALTH CLINIC LLC share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MID-SOUTH HEALTH CLINIC LLC uses 1073595096.
Can I rely on MID-SOUTH HEALTH CLINIC LLC being an active provider?
As of the registry snapshot, MID-SOUTH HEALTH CLINIC LLC is marked active.
What is MID-SOUTH HEALTH CLINIC LLC's primary classification?
Rural Health Clinic/Center is the headline specialty for MID-SOUTH HEALTH CLINIC LLC here. Clinical services aligned with this taxonomy classification.
Does MID-SOUTH HEALTH CLINIC LLC list a practice location?
Patients near Alton, Illinois may find MID-SOUTH HEALTH CLINIC LLC in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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