Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Medical Clinic Inc

Organization Rural Health Clinic/Center · NPI 1497823314

Southside Medical Clinic Inc is a Rural Health Clinic/Center in Mount Vernon, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

913 S 10th St
Mount Vernon, IL 62864-5313
Phone: (618) 242-2745
Fax: (618) 242-2766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 001 (IL)

Record details

NPI number1497823314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bruce Melvin — Executive Director · (618) 242-2745
NPI enumeratedNovember 30, 2006
Last updated in NPPESJuly 21, 2022
Mailing address913 South 10th Street, Mount Vernon, IL 62864-5313

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