MEMORIAL HOSPITAL (NPI# 1629469002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629469002 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL |
| Other Organization Name | RANDOLPH HOSPITAL DISTRICT |
| Practice Address |
2319 Old Plank Road Chester IL 62233-1116 |
| Mailing Address |
1900 State St Chester IL 62233-1116 |
| Practice Telephone | 6188262388 |
| Mailing Telephone | 6188264581 |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-06-09 |
| Authorized Official Name | MS. GAIL MIESNER (CFO) |
| Authorized Official Telephone | 6188264581 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 036-051292 | IL | Allopathic & Osteopathic Physicians |
| 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 | 208600000X | Surgery | 036-127160 | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 036-046019 | IL | Allopathic & Osteopathic Physicians |
| N | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
0001495 | IL | Hospitals |
| 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 | 363L00000X | Nurse Practitioner | 209-009681 | 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 | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| 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 |
| 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 |
| 1477548774 | Memorial Hospital | General Acute Care Hospital | 1785 4th Ave, York, PA 17403-2615 | 2005-09-13 |
| 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 |
2319 OLD PLANK ROAD |
| City | CHESTER |
| State | IL |
| Zip Code | 62233-1116 |
| 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 |
| 1154387850 | Brett A Prywitch | Radiology | 1900 State St, Chester Memorial Hospital, Chester, IL 62233 | 2006-04-22 |
| Find all providers in zip 62233 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003984097 | Liberty County Hospital and Nursing Home, Inc | Clinic/Center | 418 West Monroe Avenue, Chester, MT 59522-0506 | 2006-11-30 |
| 1104920438 | Seneca Healthcare District | Clinic/Center | 199 Reynolds Road, Chester, CA 96020 | 2006-09-08 |
| 1407832355 | Thayer County Memorial Hospital | Clinic/Center | 116 Huron St, Chester, NE 68327-6012 | 2005-12-21 |
| 1629346812 | Chester Medical Group, LLC | Clinic/Center | 2319 Old Plank Rd, Chester, IL 62233-1153 | 2011-12-02 |
| 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.