| Memorial Hospital Association | |
|
403 S Adams St Suite 239 Carthage IL 62321-1624 | |
| (217) 357-0617 | |
| (217) 357-0615 |
| Full Name | Memorial Hospital Association |
|---|---|
| Speciality | Clinic/Center |
| Location | 403 S Adams St, Carthage, Illinois |
| Authorized Official Name and Position | Ada M Bair (CEO) |
| Authorized Official Contact | 2173578566 |
| 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) 357-0617 | Memorial Hospital Association 403 S Adams St Suite 239 Carthage IL 62321-1624 Ph: (217) 357-0617 |
| NPI Number | 1205887742 |
|---|---|
| Provider Enumeration Date | 05/12/2006 |
| Last Update Date | 04/05/2019 |
| Medicare PECOS PAC ID | 0244134682 |
|---|---|
| Medicare Enrollment ID | O20051220000477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205887742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 0001529 (Illinois) | Primary |
Memorial Hospital Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1450 N County Rd 2050, Carthage, IL 62321 Phone: 217-357-2173 Fax: 217-357-3610 | |
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 |