MEMORIAL HOSPITAL ASSOCIATION (NPI# 1891972451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891972451 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL ASSOCIATION |
| Other Organization Name | MEMORIAL MEDICAL CLINIC NAUVOO |
| Practice Address |
1370 Mulholland St Nauvoo IL 62354-1010 |
| Mailing Address |
Po Box 160 Carthage IL 62321-0160 |
| Practice Telephone | 2174536802 |
| Practice Fax Number | 2174532149 |
| Mailing Telephone | 2173576594 |
| Mailing Fax Number | 2173576564 |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2019-04-05 |
| Authorized Official Name | TERESA SMITH (CFO) |
| Authorized Official Telephone | 2173578573 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL ASSOCIATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Memorial Medical Clinic Nauvoo | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1730139031 | Memorial Hospital Association | General Acute Care Hospital | 1454 N County Road 2050, Carthage, IL 62321-3551 | 2006-05-10 |
| 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 |
1370 MULHOLLAND ST |
| City | NAUVOO |
| State | IL |
| Zip Code | 62354-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912175506 | Anthony William Wasielewski | Nurse Practitioner | 1370 Mulholland St, Nauvoo, IL 62354-1010 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821272618 | Nauvoo Fire Protection District | Ambulance | 2015 Mulholland St, Nauvoo, IL 62354 | 2007-12-28 |
| 1295737237 | Gregory A Miller | Obstetrics & Gynecology | 975 Young St, Nauvoo, IL 62354 | 2005-08-10 |
| 1740208784 | Luann Haas | Pharmacist | 1350 Mulholland, Nauvoo, IL 62354-0248 | 2006-07-18 |
| 1598968786 | Nauvoo Colusa Cus Dist 325 | Local Education Agency (LEA) | 2461 N County Rd 1000, Nauvoo, IL 62354-0308 | 2007-06-06 |
| 1851645113 | David E. Morgan | Chiropractor | 1390 Mulholland St, Nauvoo, IL 62354-1010 | 2012-11-07 |
| 1205078847 | Nauvoo Pharmacy | Durable Medical Equipment & Medical Supplies | 1350 Mulholland St, Nauvoo, IL 62354-1010 | 2009-03-27 |
| 1699291815 | Mary Ann Siegworth | Speech-Language Pathologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-08-18 |
| 1164035846 | Deanne A Brooks | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2020-08-24 |
| 1710492731 | Julie Herbstrith | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-12-13 |
| 1568989812 | Ruth Kelly | Psychologist | 2461 N State Highway 96, Nauvoo, IL 62354-2200 | 2017-08-28 |
| Find all providers in zip 62354 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396386181 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak St Ste 100, Carbondale, IL 62901-1496 | 2019-10-02 |
| 1043872781 | Mendota Community Hospital | Clinic/Center | 1401 E 12th St Ste 400, Mendota, IL 61342-9216 | 2019-07-02 |
| 1114582913 | Hammond Henry Dist Hospital | Clinic/Center | 203 W Front St, Annawan, IL 61234-7756 | 2019-05-07 |
| 1841763810 | Heartland Women's Healthcare Ltd | Clinic/Center | 24 Veterans Dr, Harrisburg, IL 62946-3320 | 2019-01-02 |
| 1821561895 | Heartland Women's Healthcare Ltd | Clinic/Center | 215 N Logan St Ste A, West Frankfort, IL 62896-2314 | 2019-01-02 |
| 1578040275 | Osf Healthcare System | Clinic/Center | 230 S Exchange St, Galva, IL 61434-1871 | 2018-07-25 |
| 1700380219 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1510 W Springfield Rd Ste A, Taylorville, IL 62568-2764 | 2018-03-20 |
| 1326542903 | Toofan Medical Holdings, Ltd. | Clinic/Center | 1001 Avenue of Mid America Ste 4, Effingham, IL 62401-4634 | 2018-03-20 |
| 1649795659 | Harrisburg Medical Center Inc | Clinic/Center | 3106 Outer Dr Ste 200, Marion, IL 62959-5270 | 2017-08-10 |
| 1588186308 | Wabash General Hospital District | Clinic/Center | 1430 College Dr Ste A, Mount Carmel, IL 62863-2649 | 2017-07-13 |
| 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.