MEMORIAL MEDICAL CENTER NPI 1730194259

NPI Information

  • NPI: 1730194259
  • Provider Name: MEMORIAL MEDICAL CENTER
  • Classification: General Acute Care Hospital - 282N00000X
  • Entity Type: Organization
  • Doing Business As: CENTEGRA HOSPITAL WOODSTOCK
  • Address: 3701 DOTY RD
    WOODSTOCK, IL
    ZIP 60098
  • Phone: (815) 338-2500

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NPI Details

MEMORIAL MEDICAL CENTER is a general acute care hospital in Woodstock, IL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. MEMORIAL MEDICAL CENTER NPI is 1730194259. The provider is registered as an organization entity type.
The provider Is Doing Business As Centegra Hospital Woodstock.

The provider's business location address is:

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098-509
Phone: (815) 338-2500
Fax: (815) 334-3948

The provider's authorized official is David Tomlinson .
The authorized official title is Cio & Cfo and has the following contact phone number (815) 788-5831.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 3/21/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1282N00000XGeneral Acute Care Hospital0001503ILLINOISNo
2282N00000XGeneral Acute Care Hospital0004606ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERILLINOISALL OTHER PAYORS
2140176MEDICARE OSCAR/CERTIFICATIONILLINOIS
3573300MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B - CRNA
4=========401MEDICAIDILLINOIS
5=========001MEDICAIDILLINOIS
679OTHERILLINOISBLUE CROSS
71819OTHERILLINOISBLUECROSS SUBSTANCE ABUSE
8802800MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B

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: 11/21/2025

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