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MEMORIAL MEDICAL CENTER NPI 1538379581


NPI Information

NPI: 1538379581
Provider Name: MEMORIAL MEDICAL CENTER
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
Address:
701 N 1ST ST
SPRINGFIELD, IL
ZIP 62702
Phone: (217) 788-3000
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MEMORIAL MEDICAL CENTER is a nursing facility intermediate care facility in Springfield, IL. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. MEMORIAL MEDICAL CENTER NPI is 1538379581. The provider is registered as an organization entity type.

The provider's business location address is:

701 N 1ST ST
SPRINGFIELD, IL
ZIP 62702-757
Phone: (217) 788-3000

The provider's authorized official is Michele Klodt .
The authorized official title is Registered Nurse, Staff and has the following contact phone number (217) 788-3000.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


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
1313M00000XNursing Facility/Intermediate Care FacilityILLINOISYes

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: 11/14/2023

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