Memorial Physician Services

  • 1104179415 NPI Number
  • |
  • Actived: 6 years ago
  • |
According to our database, NPI number for Memorial Physician Services is 1104179415 and actived since Wednesday, October 24 2012. Memorial Physician Services is an Organization provider specializes in Rural Health. Provider information was last updated on 10/26/2012.

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Overview of Memorial Physician Services

  • NPI number: 1346881877
  • Provider type: Organization
  • Specialty: Rural Health
  • Active since: 10/24/2012
  • Last updated: 10/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 261QR1300X
  • Specialty: Rural Health
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: Po Box 3428
    Springfield, IL 62708
  • Phone: 800-577-5368
  • Fax: 217-757-2021

Provider Practice Location

  • Address: 1602 W Lafayette Ave
    Jacksonville, IL 62650
  • Phone: 217-243-7200
  • Fax: 217-243-6165

Authorized Official

  • Name: James T Dowell
  • Position/Title: Vice President, Mps
  • Telephone Number: 217-788-3342

Scope of Practice

  • Taxonomy Code: 261QR1300X
  • Specialty: Rural Health
  • License Number:
  • License State:
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 148906
  • Identifier Type: Other
  • Identifier State:
  • Issuer: RHC MEDICARE PTAN

Question & Answers

What is the npi number?

  • Q: What is the npi number for Memorial Physician Services?
  • A: The npi number for Memorial Physician Services is 1104179415.
  • Q: What are Memorial Physician Services's specialties?
  • A: Memorial Physician Services's specialties are Rural Health and different specialities.
  • Q: Where is Memorial Physician Services business practice location?
  • A: Memorial Physician Services business practice location is 1602 W Lafayette Ave, Jacksonville, IL 62650.
  • Q: How to contact Memorial Physician Services?
  • A: You can contact Memorial Physician Services via 217-243-7200.
  • Q: What is the authorized official for Memorial Physician Services?
  • A: The authorized office name is James T Dowell with position/title is Vice President, Mps and you can reach the authorized official via phone number 2177883342.