Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Southside Medical Clinic Inc

Rural Health Clinic/Center in Mount Vernon, IL · enumerated 2006 · authorized official Bruce Melvin, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497823314

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Registry record

Entity type Organization (Type 2)

Legal business name Southside Medical Clinic Inc

Practice address 913 South 10th Street, Mount Vernon, IL, 62864

Phone (618) 242-2745

Fax (618) 242-2766

Enumeration date Nov 30, 2006

Last updated in NPPES Jul 21, 2022

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 001 (IL) Primary

Authorized official

Name Bruce Melvin

Title Executive Director

Phone (618) 242-2745

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Southside Medical Clinic Inc located?

The practice location on file with NPPES is in Mount Vernon, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.