MASSAC MEMORIAL HOSPITAL NPI 1831226901

NPI Information

  • NPI: 1831226901
  • Provider Name: MASSAC MEMORIAL HOSPITAL
  • Classification: Medicare Defined Swing Bed Unit - 275N00000X
  • Entity Type: Organization
  • :
  • Address: 28 CHICK ST
    METROPOLIS, IL
    ZIP 62960
  • Phone: (618) 524-2176

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NPI Details

MASSAC MEMORIAL HOSPITAL is a medicare defined swing bed unit in Metropolis, IL. The provider is a unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. MASSAC MEMORIAL HOSPITAL NPI is 1831226901. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

28 CHICK ST
METROPOLIS, IL
ZIP 62960-467
Phone: (618) 524-2176
Fax: (618) 524-4131

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

The enumeration date for this NPI number is 2/27/2007 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
1275N00000XMedicare Defined Swing Bed Unit0001420ILLINOISYes

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
1111575OTHERILLINOISHEALTHLINK
201330034MEDICAIDKENTUCKY
3037520699OTHERILLINOISENERGY EMPLOYEES OCCUP II
4317OTHERILLINOISBLUE CROSS

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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