# MASSAC MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Massac Memorial Medical Clinic II
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417303181
- **Authorized official:** MRS. LYNN GOINES (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (618) 524-2176

## Contact information

- **Practice address:** 1204 W 10TH ST STE C, METROPOLIS, IL 62960-2482
- **Practice address phone:** (618) 524-2182
- **Practice address fax:** (618) 524-8224
- **Mailing address:** PO BOX 850, METROPOLIS, IL 62960-0850
- **Mailing address phone:** (618) 524-2176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/11/2016
- **Last updated:** 07/30/2025