MASSAC MEMORIAL HOSPITAL NPI 1740355809

NPI Information

  • NPI: 1740355809
  • Provider Name: MASSAC MEMORIAL HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • :
  • CLIA Number: 14D1046049
  • Address: 1204 W 10TH ST STE A&B
    METROPOLIS, IL
    ZIP 62960
  • Phone: (618) 524-2176

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NPI Details

MASSAC MEMORIAL HOSPITAL is a rural health clinic center in Metropolis, IL. MASSAC MEMORIAL HOSPITAL NPI is 1740355809. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1204 W 10TH ST STE A&B
METROPOLIS, IL
ZIP 62960-480
Phone: (618) 524-2176
Fax: (618) 524-4131

The provider's authorized official is Lynn Goines .
The authorized official title is Cfo and has the following contact phone number (618) 524-2176.

The CLIA number assigned to this NPI record is 14D1046049 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 and was last updated on 8/4/2025.

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
1261QR1300XClinic/CenterRural Health0001420ILLINOISYes

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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