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MEMORIAL MEDICAL CENTER NPI 1255393112


NPI Information

NPI: 1255393112
Provider Name: MEMORIAL MEDICAL CENTER

Other Name: PROFESSIONAL FEES

Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Organization
Address:
701 N 1ST ST
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 788-3754
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MEMORIAL MEDICAL CENTER is a nurse anesthetist certified registered in Springfield, IL. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. MEMORIAL MEDICAL CENTER NPI is 1255393112. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Professional Fees.

The provider's business location address is:

701 N 1ST ST
SPRINGFIELD, IL
ZIP 62781-001
Phone: (217) 788-3754
Fax: (217) 788-7071

The provider's authorized official is Ann Bowling .
The authorized official title is Director and has the following contact phone number (217) 588-2626.

The enumeration date for this NPI number is 4/5/2006 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified RegisteredYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG7164OTHERILLINOISRAILROAD MEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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