LAWRENCE COUNTY MEMORIAL HOSPITAL NPI 1811183692

NPI Information

NPI: 1811183692
Provider Name: LAWRENCE COUNTY MEMORIAL HOSPITAL
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: LCMH PRIMARY CARE CLINIC-RHC
CLIA Number: 14D1073254
Address: 2111 LEXINGTON AVE
LAWRENCEVILLE, IL
ZIP 62439
Phone: (618) 943-7216

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NPI Details

LAWRENCE COUNTY MEMORIAL HOSPITAL is a rural health clinic center in Lawrenceville, IL. LAWRENCE COUNTY MEMORIAL HOSPITAL NPI is 1811183692. The provider is registered as an organization entity type.
The provider Is Doing Business As Lcmh Primary Care Clinic-rhc.

The provider's business location address is:

2111 LEXINGTON AVE
LAWRENCEVILLE, IL
ZIP 62439-085
Phone: (618) 943-7216
Fax: (618) 943-7219

The provider's authorized official is Josey Johnson .
The authorized official title is Project Coord and has the following contact phone number (405) 371-9756.

The CLIA number assigned to this NPI record is 14D1073254 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/14/2007 and was last updated on 10/27/2022.

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	261QR1300X	Clinic/Center	Rural Health			Yes

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	1881643401	OTHER		LCMH PART A NPI 1881643401 - 141344

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

NPI Synchronization or Removal

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