MEMORIAL MEDICAL CENTER (NPI# 1124099098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124099098 |
| Entity Type | Organization |
| Organization Name | MEMORIAL MEDICAL CENTER |
| Practice Address |
701 N !st St Mab 528 Springfield IL 62781-0001 |
| Practice Telephone | 2177883000 |
| Mailing Telephone | 2177883000 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT W KAY (SENIOR VP & CFO) |
| Authorized Official Telephone | 2177577805 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
========= | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538719836 | Memorial Medical Center | Nursing Care | 118 Trinity Shores Drive, Port Lavaca, TX 77979 | 2019-09-18 |
| 1497153589 | Memorial Medical Center | Family Medicine | 1016 N. Virginia St., Port Lavaca, TX 77979-0000 | 2014-12-05 |
| 1588075964 | Memorial Medical Center | Skilled Nursing Facility | 2100 Dove Crossing Ln, Navasota, TX 77868-5247 | 2014-05-19 |
| 1275717894 | Memorial Medical Center | Skilled Nursing Facility | 2750 Miller Ranch Rd, Pearland, TX 77584-9763 | 2007-12-18 |
| 1679549968 | Memorial Medical Center | Audiologist | 644 North Second Street, Springfield, IL 62781-0001 | 2006-02-27 |
| 1922092790 | Memorial Medical Center | Skilled Nursing Facility | 1008 Enterprise Blvd, Rockport, TX 78382-3201 | 2005-09-07 |
| 1568017481 | Memorial Medical Center | Clinic/Center | 701 N 1st St, Springfield, IL 62781-0001 | 2019-08-07 |
| 1053964742 | Memorial Medical Center | Orthopaedic Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2019-07-22 |
| 1164954806 | Memorial Medical Center | Internal Medicine | 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 | 2017-03-31 |
| 1104203181 | Memorial Medical Center | Surgery | 815 N Virginia St, Port Lavaca, TX 77979-3025 | 2015-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER | 8260 Atlee Rd Ste 1203, Mechanicsville, VA 23116-1844 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER INC | 1615 Maple Ln, Ashland, WI 54806-3610 |
| System for Award Management (SAM) Entities | MEMORIAL MEDICAL CENTER OF EAST TEXAS | 1201 W Frank Ave, Lufkin, TX 75904-3357 |
| Street Address |
701 N !ST ST MAB 528 |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62781-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145747 | Justin Neil Henry | Hospitalist | 701 N 1st St Rm B146, Springfield, IL 62781 | 2010-05-21 |
| 1457464208 | Edward J Ryan Poje | Pathology | 701 N First St, Memorial Medical Center, Springfield, IL 62781 | 2006-08-16 |
| 1649285453 | Sanjai Nagendra | Pathology | 701 N First Street, Springfield, IL 62781 | 2006-07-30 |
| 1770518706 | Daniel L Stanton Jr. | Radiology | 701 N. First St, Springfield, IL 62781 | 2006-07-11 |
| 1992187934 | Kelli Levek | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2015-06-26 |
| 1386048502 | Bhadreshkumar R. Mandani | Family Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-10-17 |
| 1801215231 | Robert Matthew Tennill | Emergency Medicine | 701 N 1st St, Springfield, IL 62781 | 2014-04-14 |
| 1851739684 | Mateusz Serafin | Hospitalist | 701 N 1st St, Springfield, IL 62781 | 2013-06-14 |
| 1538506357 | Sapna Siddharth | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-06-03 |
| 1336586734 | Rakshit Ramanath Shetty | Internal Medicine | 701 N 1st St, Springfield, IL 62781 | 2013-05-28 |
| Find all providers in zip 62781 | ||||
| Taxonomy Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255642765 | Saint Joseph's Regional Medical Center | General Acute Care Hospital | 88a Wabeno Ave, Springfield, NJ 07081-1819 | 2010-06-30 |
| 1528195724 | The Shriners' Hospital for Children | General Acute Care Hospital | 516 Carew St, Springfield, MA 01104-2330 | 2007-02-27 |
| 1487637591 | St. John's Hospital of The Hospital Sisters of The Third Order of St F | General Acute Care Hospital | 800 East Carpenter, Springfield, IL 62769-0001 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831518539 | Anita Gupta | General Acute Care Hospital | 225 East Chicago Avenue Box -152, Chicago, IL 60611-2605 | 2014-04-09 |
| 1073855623 | The University of Chicagp | General Acute Care Hospital | 5841 S Maryland Ave Mc6082, University of Chicago, Chicago, IL 60637-1419 | 2013-03-21 |
| 1699020370 | Gregory Hansen | General Acute Care Hospital | 225 E. Chicago Avenue, Box 51, Division of Neurology, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 | 2012-07-18 |
| 1831472380 | Advocate Hope Children's Hospital | General Acute Care Hospital | 10515 Lexington Ln., Frankfort, IL 60423-2209 | 2011-09-21 |
| 1285946293 | Mt. Sinai Hospital | General Acute Care Hospital | 15 California Ave., F 444, Chicago, IL 60608-3640 | 2010-07-07 |
| 1265752844 | Hshs Medical Group | General Acute Care Hospital | 1900 E Lake Shore Dr Ste 330, Suite 330, Decatur, IL 62521-3848 | 2010-06-07 |
| 1326288465 | Harvey Buchman | General Acute Care Hospital | 1125 N Bluebonnet Ln, Hoffman Estates, IL 60169-4430 | 2009-03-03 |
| 1801058086 | Children's Memorial Hospital | General Acute Care Hospital | 1250 S Michigan Ave Apt 810, Chicago, IL 60605-3268 | 2008-06-27 |
| 1659545986 | Mount Sinai Medical Center | General Acute Care Hospital | 5030 N Ridgeway Ave Unit 2, Chicago, IL 60625-6022 | 2008-04-17 |
| 1619021359 | Childrens Memorial Hospital | General Acute Care Hospital | 2731 Harrison St, Evanston, IL 60201-1215 | 2007-01-22 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 62781 |
Please comment or provide details below to improve the information on MEMORIAL MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.