FAIRFIELD MEMORIAL HOSPITAL NPI 1770594277

NPI Information

NPI: 1770594277
Provider Name: FAIRFIELD MEMORIAL HOSPITAL
Classification: Pharmacy - 3336I0012X
Specialization: Institutional Pharmacy
Entity Type: Organization
CLIA Number: 14D2143194
Address: 303 NW 11TH ST
FAIRFIELD, IL
ZIP 62837
Phone: (618) 842-2611

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NPI Details

FAIRFIELD MEMORIAL HOSPITAL is an institutional pharmacy pharmacy in Fairfield, IL. The provider is a pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. FAIRFIELD MEMORIAL HOSPITAL NPI is 1770594277. The provider is registered as an organization entity type.

The provider's business location address is:

303 NW 11TH ST
FAIRFIELD, IL
ZIP 62837-203
Phone: (618) 842-2611
Fax: (618) 847-8370

The provider's authorized official is Stephen Dawkins .
The authorized official title is Dir Of Pharmacy Ops and has the following contact phone number (618) 842-2611.

The CLIA number assigned to this NPI record is 14D2143194 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3336I0012X	Pharmacy	Institutional Pharmacy			Yes
2	3336C0003X	Pharmacy	Community/Retail Pharmacy		ILLINOIS	X

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	1479915	OTHER		OTHER ID NUMBER-COMMERCIAL 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: 3/30/2025

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