MEMORIAL PHYSICIAN SERVICES


Address: 1 Centre Dr, Petersburg, IL 62675-9467
Phone: 2176327761

MEMORIAL PHYSICIAN SERVICES (NPI# 1790038099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790038099
Entity Type Organization
Organization Name MEMORIAL PHYSICIAN SERVICES
Practice Address 1 Centre Dr
Petersburg
IL 62675-9467
Mailing Address Po Box 3428
Springfield
IL 62708-3428
Practice Telephone 2176327761
Practice Fax Number 2176320312
Mailing Telephone 8005775368
Mailing Fax Number 2177572021
Enumeration Date 2012-10-24
Last Update Date 2012-10-26
Authorized Official Name JAMES T DOWELL (VICE PRESIDENT, MPS)
Authorized Official Telephone 2177883342
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR1300X Clinic/Center
Specialization: Rural Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
RHC MEDICARE PTAN 143936 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1316470651 Memorial Physician Services Internal Medicine 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 2017-04-04
1275065906 Memorial Physician Services Internal Medicine 701 N 1st St, Mailbox 95, Springfield, IL 62781-0001 2017-03-31
1063961936 Memorial Physician Services General Acute Care Hospital 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 2016-10-03
1205180056 Memorial Physician Services Clinic/Center 1600 W Walnut St, East Wing, 3rd Floor, Jacksonville, IL 62650-1136 2012-11-01
1174877930 Memorial Physician Services Nurse Practitioner 3132 Old Jacksonville Rd, Springfield, IL 62704-7400 2012-11-01
1104179415 Memorial Physician Services Clinic/Center 1602 W Lafayette Ave, Jacksonville, IL 62650-1007 2012-10-24
1558614867 Memorial Physician Services Clinic/Center 15 Founders Ln, Suite 100, Jacksonville, IL 62650-3919 2012-10-24
1881947174 Memorial Physician Services Clinic/Center 1606 W Lafayette Ave, Jacksonville, IL 62650-3707 2012-10-24
1568715126 Memorial Physician Services Clinic/Center 515 N College St, Lincoln, IL 62656-1401 2012-10-19
1477614105 Memorial Physician Services Clinic/Center 515 N College St, Lincoln, IL 62656-1401 2006-12-13

Office Location

Street Address 1 CENTRE DR
City PETERSBURG
State IL
Zip Code 62675-9467

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760457261 Amanda L. Meeks Family Medicine 1 Centre Dr, Petersburg, IL 62675-9584 2006-02-20
1639426166 Linda K Thornberry Social Worker 1 Centre Dr, Petersburg, IL 62675-9467 2012-08-15
1588815096 Menard Medical Center, LLC Clinic/Center 1 Centre Dr, Petersburg, IL 62675-9467 2008-10-02
1437300043 Menard Medical Center, LLC Nurse Practitioner 1 Centre Dr, Petersburg, IL 62675-9467 2008-10-02
1023230968 Joe A Bilyeu Family Medicine 1 Centre Dr, Petersburg, IL 62675-9467 2007-05-02
1437278132 Heather Walker Occupational Therapist 1 Centre Dr, Petersburg, IL 62675-9467 2007-03-27
1619091477 Thelma Hinton Physical Therapist 1 Centre Dr, Petersburg, IL 62675-9467 2007-03-19
1740311349 Maxoiim Tellez Family Medicine 1 Centre Dr, Petersburg, IL 62675-9467 2007-03-08
1235291220 Healthcare Network Associates Clinic/Center 1 Centre Dr, Petersburg, IL 62675-9467 2006-12-15
1538259403 Petersburg Pharmacy, Inc Pharmacy 1 Centre Dr, Suite 100, Petersburg, IL 62675-9467 2006-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962519405 Porta Comm. Unit District 202 Local Education Agency (LEA) 17651 Bluejay Road, Petersburg, IL 62675 2006-08-23
1295704021 Menard County Health Department Home Health 1120 N 4th, Suite A, Petersburg, IL 62675 2006-03-15
1720035611 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2006-05-27
1003068776 Menard Convalescent Center, Inc Skilled Nursing Facility 120 W Antle St, Petersburg, IL 62675-1035 2008-10-14
1528106812 County of Menard Public Health or Welfare 1120 N 4th St, Suite A, Petersburg, IL 62675-1115 2007-02-01
1922478916 Ashleigh Renee Smith Private Vehicle 703 N 7th St, Petersburg, IL 62675-1144 2015-10-02
1952872269 Abbey Lynn Venturini Social Worker 323 W Rutledge St, Petersburg, IL 62675-1239 2018-12-12
1285936872 Donald P. Hartman Dentist 213 N 5th, Petersburg, IL 62675-1303 2010-12-02
1114197514 Paul Douglas Davis Dentist 213 N 5th St, Petersburg, IL 62675-1303 2008-03-03
1619091238 Donald Paul Hartman Dentist 213 N 5th St, Petersburg, IL 62675-1303 2007-03-19
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Taxonomy Information

Taxonomy Code 261QR1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rural Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689770083 Little Company of Mary Hospital of Indiana, Inc Clinic/Center 1003 E Illinois St, Petersburg, IN 47567 2006-09-15
1588815096 Menard Medical Center, LLC Clinic/Center 1 Centre Dr, Petersburg, IL 62675-9467 2008-10-02
1144388505 Daviess County Hospital Clinic/Center 611 E Main St, Petersburg, IN 47567-1247 2006-12-05
1710098405 Deaconess Hospital, Inc Clinic/Center 106 W Pike Ave, Petersburg, IN 47567-8750 2006-08-31

Providers in the same taxonomy and state

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
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Competitor

Search similar providers

City PETERSBURG
Zip Code 62675

Improve Information

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Dataset Information

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.

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