SOUTHSIDE MEDICAL CLINIC INC – Rural Health Clinic/Center, NPI 1497823314
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2012-04-19. Reason: Exclusion or suspension under federal or state health care program.
Rural Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SOUTHSIDE MEDICAL CLINIC INC
913, South 10th Street, Mount Vernon, Jefferson County, Illinois, 62864, United States
MOUNT VERNON, IL 628645313
Phone: (618) 242-2745
Fax: (618) 242-2766
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62864)
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