# MEMORIAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033171343
- **Authorized official:** ANN BOWLING (DIRECTOR)
- **Authorized official phone:** (217) 588-2626

## Contact information

- **Practice address:** 701 N 1ST ST, SPRINGFIELD, IL 62781-5185
- **Practice address phone:** (217) 788-3000
- **Mailing address:** PO BOX 3428, SPRINGFIELD, IL 62708-3428
- **Mailing address phone:** (800) 577-5368
- **Mailing address fax:** (217) 757-7550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/03/2006
- **Last updated:** 01/30/2024