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MEMORIAL HOSPITAL NPI 1851390132


NPI Information

NPI: 1851390132
Provider Name: MEMORIAL HOSPITAL

Other Name: RANDOLPH HOSPITAL DISTRICT

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

Address:
1900 STATE ST
CHESTER, IL
ZIP 62233
Phone: (618) 826-4581
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MEMORIAL HOSPITAL is a critical access general acute care hospital in Chester, IL. MEMORIAL HOSPITAL NPI is 1851390132. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Randolph Hospital District.

The provider's business location address is:

1900 STATE ST
CHESTER, IL
ZIP 62233-116
Phone: (618) 826-4581
Fax: (618) 826-4813

The provider's authorized official is Morgan K Bendorf .
The authorized official title is Cfo and has the following contact phone number (618) 826-4581.

The enumeration date for this NPI number is 7/19/2005 and was last updated on 9/2/2022.


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
1207PE0004XEmergency MedicineEmergency Medical Services036051292ILLINOISNo
2207PE0004XEmergency MedicineEmergency Medical Services036052369ILLINOISNo
3207Q00000XFamily Medicine036-051292ILLINOISNo
4207Q00000XFamily Medicine036-052369ILLINOISNo
5207Q00000XFamily Medicine036-130378ILLINOISNo
6207Q00000XFamily Medicine036-087561ILLINOISNo
7207Q00000XFamily Medicine036-141161ILLINOISNo
8208600000XSurgery036-127160ILLINOISNo
9208600000XSurgery036-046019ILLINOISNo
10333600000XPharmacy054017088ILLINOISNo
11363A00000XPhysician Assistant085-003568ILLINOISNo
12363A00000XPhysician Assistant085-003575ILLINOISNo
13367500000XNurse Anesthetist, Certified Registered041-149926ILLINOISNo
14367500000XNurse Anesthetist, Certified Registered209-009387ILLINOISNo
15282NC0060XGeneral Acute Care HospitalCritical Access0001495ILLINOISYes

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
10001495OTHERILLINOISIDPH

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: 5/5/2024
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