Memorial Physician Services | |
515 N College St Lincoln IL 62656-1401 | |
(217) 732-9681 | |
(217) 735-6527 |
Full Name | Memorial Physician Services |
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Speciality | Clinic/Center |
Location | 515 N College St, Lincoln, Illinois |
Authorized Official Name and Position | James T Dowell (VICE PRESIDENT, MPS) |
Authorized Official Contact | 2177883342 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Memorial Physician Services Po Box 3428 Springfield IL 62708-3428 Ph: (800) 577-5368 | Memorial Physician Services 515 N College St Lincoln IL 62656-1401 Ph: (217) 732-9681 |
NPI Number | 1568715126 |
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Provider Enumeration Date | 10/19/2012 |
Last Update Date | 02/11/2021 |
Medicare PECOS PAC ID | 9032005681 |
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Medicare Enrollment ID | O20130116000587 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568715126 | NPI | - | NPPES |
143895 | Other | IL | RHC MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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