| Memorial Medical Center | |
|
701 N 1st St Springfield IL 62781-0001 | |
| (217) 788-3000 | |
| Not Available |
| Full Name | Memorial Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 701 N 1st St, Springfield, Illinois |
| Authorized Official Name and Position | Jameson M Roszhart (PRESIDENT & CEO) |
| Authorized Official Contact | 2177883000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Center 701 N 1st St Springfield IL 62781-0001 Ph: (217) 788-3000 | Memorial Medical Center 701 N 1st St Springfield IL 62781-0001 Ph: (217) 788-3000 |
| NPI Number | 1316918287 |
|---|---|
| Provider Enumeration Date | 01/30/2006 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Medicare PECOS PAC ID | 7315835949 |
|---|---|
| Medicare Enrollment ID | O20071127000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316918287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Illinois) | Primary |
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