MEMORIAL HOSPITAL ASSOCIATION (NPI# 1730139031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730139031 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL ASSOCIATION |
| Practice Address |
1454 N County Road 2050 Carthage IL 62321-3551 |
| Mailing Address |
Po Box 160 Carthage IL 62321-0160 |
| Practice Telephone | 2173578562 |
| Practice Fax Number | 2173578564 |
| Mailing Telephone | 2173578500 |
| Mailing Fax Number | 2173576564 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | ADA M BAIR (CEO) |
| Authorized Official Telephone | 2173578566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0005611 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 0199 | 01 |
| IA | 0901017 | 05 | |
| IL | HEALTHLINK | 113150 | 01 |
| MO | 010495307 | 05 | |
| IL | TRICARE | L012131 | 01 |
| IL | BLUE SHIELD | 3415003 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225305444 | Memorial Hospital Association | Public Health or Welfare | 206 N Broadway Ave, Red Lodge, MT 59068-9369 | 2011-11-17 |
| 1891972451 | Memorial Hospital Association | Clinic/Center | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-01-25 |
| 1659433175 | Memorial Hospital Association | General Acute Care Hospital | 600 W 21st Street, Red Lodge, MT 59068-0590 | 2006-12-14 |
| 1144381054 | Memorial Hospital Association | General Acute Care Hospital | 600 West 21st Street, Red Lodge, MT 59068-0590 | 2006-12-13 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1205887742 | Memorial Hospital Association | Clinic/Center | 403 S Adams St, Suite 239, Carthage, IL 62321-1624 | 2006-05-12 |
| 1437100831 | Memorial Hospital Association | Clinic/Center | 209 E 5th Street, Bowen, IL 62316 | 2006-05-12 |
| 1588614002 | Memorial Hospital Association | Clinic/Center | 1450 N County Rd 2050, Carthage, IL 62321-0160 | 2006-05-12 |
| 1336119338 | Memorial Hospital Association | General Acute Care Hospital | 2525 North Broadway, Red Lodge, MT 59068-0590 | 2006-01-24 |
| 1699228882 | Memorial Hospital Association | Clinic/Center | 110 E Market St, Colchester, IL 62326-1271 | 2016-07-25 |
| Street Address |
1454 N COUNTY ROAD 2050 |
| City | CARTHAGE |
| State | IL |
| Zip Code | 62321-3551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629420229 | Dawn Marie Cousins | Nurse Practitioner | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2016-07-07 |
| 1124470091 | Melissa Kristyne Wisslead | Registered Nurse | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2016-07-05 |
| 1447626106 | Tracey Lynn-severt Burgard | Nurse Practitioner | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2015-08-18 |
| 1073858262 | Memorial Hospital Association | General Acute Care Hospital | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2012-11-29 |
| 1306872320 | Randall Peters | Surgery | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558825364 | Unitypoint At Home | Home Health | 96 S Madison B, Carthage, IL 62321 | 2019-01-25 |
| 1740725340 | Hancock County Senior Services | Assisted Living Facility | 404 S Adams Street, Carthage, IL 62321 | 2017-01-05 |
| 1841431913 | Hancock County Supportive Living | Assisted Living Facility | 400 S Adams Street, Carthage, IL 62321 | 2009-03-18 |
| 1871713602 | Lindsey Wagner | Counselor | 607 Buchanan St, Mental Health Centers of Western Illinois, Carthage, IL 62321 | 2007-04-26 |
| 1134349970 | Joe N Little | Counselor | 607 Buchanan Street, Mental Health Centers of Western Illinois, Carthage, IL 62321 | 2007-04-26 |
| 1427124817 | Mchugh Drug Store LLC | Pharmacy | 70 South Madison St, Carthage, IL 62321 | 2006-11-28 |
| 1619058278 | Charles F Eddingfield Md | General Practice | 25 South Adams Street, Carthage, IL 62321 | 2006-10-18 |
| 1922198910 | Michelle Lee Nelson | Chiropractor | 524 Buchanan St, Carthage, IL 62321 | 2006-10-13 |
| 1104938497 | Richard Lee Vance | Chiropractor | 524 Buchanan, Carthage, IL 62321 | 2006-08-31 |
| 1679038699 | Merritt Family Chiropractic | Chiropractor | 62 S Madison St, Carthage, IL 62321 | 2019-02-04 |
| Find all providers in zip 62321 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104234376 | Carthage Area Hospital, Inc. | General Acute Care Hospital | 1001 West St, Carthage, NY 13619-9703 | 2014-07-31 |
| 1073858262 | Memorial Hospital Association | General Acute Care Hospital | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2012-11-29 |
| 1396012753 | Mercy Hospital Carthage | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2011-11-29 |
| 1205112539 | Baptist Medical Center-leake Inc | General Acute Care Hospital | 1100 Hwy 16 East, Carthage, MS 39051 | 2011-11-01 |
| 1104137215 | Riverview Medical Center LLC | General Acute Care Hospital | 158 Hospital Dr, Carthage, TN 37030-1083 | 2010-06-24 |
| 1932355625 | Memorial Hospital Association | General Acute Care Hospital | 402 S Adams St, Carthage, IL 62321-1600 | 2008-08-13 |
| 1790860575 | Mccune-brooks Hospital | General Acute Care Hospital | 3125 Dr Russell Smith Way, Carthage, MO 64836-7402 | 2006-10-27 |
| 1629082466 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-28 |
| 1801814629 | Frank T Rutherford Memorial Hospital, Inc | General Acute Care Hospital | 130 Lebanon Hwy, Carthage, TN 37030-2955 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144846353 | Express Care, LLC | General Acute Care Hospital | 11 E Adams St Ste 1100, Chicago, IL 60603-6315 | 2020-06-23 |
| 1508152745 | Medical Connections | General Acute Care Hospital | 25749 Sunnymere Dr, Plainfield, IL 60585-1290 | 2011-06-27 |
| 1205127529 | Hammond Henry Hospital | General Acute Care Hospital | 1604 Cleveland Rd, Colona, IL 61241-8970 | 2011-04-20 |
| 1578885182 | Hillsboro Area Hospital | General Acute Care Hospital | 120 W Saint John St, Ste 2, Litchfield, IL 62056-2169 | 2010-02-23 |
| 1174787394 | Nenita P Cudiamat | General Acute Care Hospital | 668 Warwick Dr, Carol Stream, IL 60188-4332 | 2008-07-16 |
| 1740479047 | Benjamin David Tyrrell | General Acute Care Hospital | 1580 Sherman Ave, Ph04, Evanston, IL 60201-4465 | 2007-10-23 |
| 1881801330 | Natalie L Hughes | General Acute Care Hospital | 14293 Cr 3900 E, San Jose, IL 62682 | 2007-05-16 |
| 1023138864 | Morrison Community Hospital | General Acute Care Hospital | 333 Chicago Ave, Savanna, IL 61074-1964 | 2007-03-29 |
| 1720131667 | A. Koranteng Medical Ltd | General Acute Care Hospital | 419 Ridgemoor Dr, Willowbrook, IL 60527-5418 | 2007-01-22 |
| 1932275641 | Carlinville Area Hospital Association | General Acute Care Hospital | 1001 Morgan St, Carlinville, IL 62626-1448 | 2006-11-27 |
| Find all providers with the same taxonomy | ||||
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| 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.