MEMORIAL HOSPITAL (NPI# 1851390132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851390132 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Other Organization Name | RANDOLPH HOSPITAL DISTRICT |
| Practice Address |
1900 State St Chester IL 62233-1116 |
| Practice Telephone | 6188264581 |
| Practice Fax Number | 6188264813 |
| Mailing Telephone | 6188264581 |
| Mailing Fax Number | 6188264813 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | MS. MORGAN K BENDORF (CFO) |
| Authorized Official Telephone | 6188264581 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036-052369 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-130378 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-087561 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036-141161 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036-127160 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036-046019 | IL | Allopathic & Osteopathic Physicians |
| N | 333600000X | Pharmacy | 054017088 | IL | Suppliers |
| N | 363A00000X | Physician Assistant | 085-003568 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 085-003575 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 041-149926 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367500000X | Nurse Anesthetist, Certified Registered | 209-009387 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0001495 | IL | Hospitals |
| N | 207Q00000X | Family Medicine | 036-051292 | IL | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036051292 | IL | Allopathic & Osteopathic Physicians |
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
036052369 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | IDPH | 0001495 | 01 |
| Other Name | Type Code |
|---|---|
| Randolph Hospital District | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528447992 | Memorial Hospital | General Acute Care Hospital | 1400 E. Boulder St. #3138, Colorado Springs, CO 80045 | 2015-05-19 |
| 1629469002 | Memorial Hospital | Family Medicine | 2319 Old Plank Road, Chester, IL 62233-1116 | 2015-02-06 |
| 1609073709 | Memorial Hospital | Nurse Practitioner | 9099 E Lansing Rd Ste B, Durand, MI 48429-1083 | 2007-07-02 |
| 1003025883 | Memorial Hospital | Psychiatric Residential Treatment Facility | 806 Central Ave Se, Albuquerque, NM 87102-3606 | 2007-05-21 |
| 1376759563 | Memorial Hospital | Family Medicine | 86 Savannah Lane, Bulan, KY 41722 | 2007-05-15 |
| 1598977787 | Memorial Hospital | Family Medicine | 3337 W Britton Rd, Perry, MI 48872 | 2007-05-03 |
| 1639209232 | Memorial Hospital | Internal Medicine | 1480 N M 52, Owosso, MI 48867-1235 | 2007-03-06 |
| 1306973805 | Memorial Hospital | Physician Assistant | 207 Shirlwood Dr, Schenectady, NY 12306-3417 | 2007-02-28 |
| 1851338149 | Memorial Hospital | General Acute Care Hospital | 715 South Taft Avenue, Fremont, OH 43420-3200 | 2006-06-02 |
| 1316923485 | Memorial Hospital | Hospice Care, Community Based | 1412 6th Ave, York, PA 17403-2648 | 2005-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL | 224 E 2nd St, Dumas, TX 79029-3808 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL & HEALTH CARE CENTER | 800 W 9th St, Jasper, IN 47546-2514 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND COMMUNITY HEALTH FOUNDATION INC | 112 East Fifth Avenue, Antigo, WI 54409-2710 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND HOMES ASSOCIATION, INC. | 415 8th Ave Sw, Perham, MN 56573-1156 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MANOR | 1500 E Shotwell St, Bainbridge, GA 39819-4256 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AND MEDICAL CENTER | 400 Rosalind Redfern Grover Parkway, Midland, TX 79701-5846 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL AT GULFPORT | 4500 13th St, Gulfport, MS 39501-2515 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL CENTRAL | 1400 E Boulder St, Colorado Springs, CO 80909-5533 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL EAST | 1404 Cross St, Shiloh, IL 62269-2988 |
| System for Award Management (SAM) Entities | MEMORIAL HOSPITAL FOR CANCER & ALLIED DISEASES | 1275 York Ave, New York, NY 10065-6007 |
| Street Address |
1900 STATE ST |
| City | CHESTER |
| State | IL |
| Zip Code | 62233-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134619950 | Cheryl L Sauerhage | Physical Therapist | 1900 State St, Chester, IL 62233-1116 | 2018-05-16 |
| 1790209518 | Memorial Hospital | Emergency Medicine | 1900 State St, Chester, IL 62233-1116 | 2017-08-02 |
| 1861757361 | Memorial Hospital of Chester | Clinic/Center | 1900 State St, Chester, IL 62233-1116 | 2012-07-10 |
| 1669736724 | Nicholas Hentis | Physical Therapist | 1900 State St, Chester, IL 62233-1116 | 2012-07-03 |
| 1396017133 | Bartt Aaron Nehrt | Nurse Anesthetist, Certified Registered | 1900 State St, Chester, IL 62233-1116 | 2012-02-08 |
| 1154606903 | Chester Medical Group LLC | Specialist | 1900 State St, Chester, IL 62233-1116 | 2011-10-12 |
| 1518272319 | Oa Associates, LLC | Orthopaedic Surgery | 1900 State St, Chester, IL 62233-1116 | 2010-08-17 |
| 1215267695 | Debra Kay Rohlfing | Occupational Therapist | 1900 State St, Chester, IL 62233-1116 | 2010-01-06 |
| 1144402462 | Jason Dean Roy | Physical Therapist | 1900 State St, Chester, IL 62233-1116 | 2007-11-28 |
| 1144420084 | Stokes Institute of Urology | Specialist | 1900 State St, Chester, IL 62233-1116 | 2007-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164840740 | Malorie K Morris | Dentist | 9449 Mill Creek Road, Chester, IL 62233 | 2014-04-01 |
| 1366655268 | Adam Matthew Gibbs | Chiropractor | 423 W Holmes St, Chester, IL 62233 | 2007-05-07 |
| 1982816625 | Jodi Beth Buskohl Southern Il Chiropractic Clinic | Chiropractor | 2447 State St., Chester, IL 62233 | 2007-05-04 |
| 1881806008 | Human Service Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3298 Dawnview Road, Chester, IL 62233 | 2007-05-03 |
| 1356563563 | Human Service Center of Southern Metro East | Clinic/Center | 115 East Stacey Street, Chester, IL 62233 | 2007-05-03 |
| 1902951536 | Southern Illinois Eye Care, PC | Optometrist | 425 W. Holmes, Chester, IL 62233 | 2007-01-24 |
| 1235117417 | Chester Clinic Professional Corp | Clinic/Center | 2319 Old Plank Rd, Chester, IL 62233 | 2006-01-06 |
| 1881951648 | Sara Elizabeth Chandler | Nurse Practitioner | 1315 Lehmen Drive, Chester, IL 62233 | 2012-04-18 |
| 1245323260 | Eve B Hoover | Physician Assistant | 2319 Old Plank Rd, Chester Clinic PC, Chester, IL 62233 | 2006-10-02 |
| 1871606731 | Basheer Ahmed | Psychiatry & Neurology | 1315 Lehmen Drive, Chester, IL 62233-0031 | 2006-08-16 |
| Find all providers in zip 62233 | ||||
| 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 |
|---|---|---|---|---|
| 1497754782 | Liberty County Hospital and Nursing Home, Inc | General Acute Care Hospital | 315 West Madison Avenue, Chester, MT 59522-0705 | 2005-07-19 |
| 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.