| Memorial Hospital Association | |
|
1450 N County Rd 2050 Carthage IL 62321-0160 | |
| (217) 357-2173 | |
| (217) 357-3610 |
| Full Name | Memorial Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 1450 N County Rd 2050, Carthage, Illinois |
| Authorized Official Name and Position | Teresa Smith (CFO) |
| Authorized Official Contact | 2173578573 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Hospital Association Po Box 160 Carthage IL 62321-0160 Ph: (217) 357-2173 | Memorial Hospital Association 1450 N County Rd 2050 Carthage IL 62321-0160 Ph: (217) 357-2173 |
| NPI Number | 1588614002 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 0244134682 |
|---|---|
| Medicare Enrollment ID | O20151103002761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588614002 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Illinois) | Primary |
Memorial Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 S Adams St, Suite 239, Carthage, IL 62321 Phone: 217-357-0617 Fax: 217-357-0615 | |
Charles F Eddingfield Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 South Adams Street, Carthage, IL 62321 Phone: 217-357-3715 |