# MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL ASSOCIATION
- **Other names:** Women & Family Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205887742
- **Legal business name:** MEMORIAL HOSPITAL ASSOCIATION
- **Authorized official:** ADA M BAIR (CEO)
- **Authorized official phone:** (217) 357-8566

## Contact information

- **Practice address:** 403 S ADAMS ST, SUITE 239, CARTHAGE, IL 62321-1624
- **Practice address phone:** (217) 357-0617
- **Practice address fax:** (217) 357-0615
- **Mailing address:** PO BOX 160, CARTHAGE, IL 62321-0160
- **Mailing address phone:** (217) 357-0617
- **Mailing address fax:** (217) 357-0615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0001529 | IL | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/05/2019