# PROTESTANT MEMORIAL MEDICAL CENTER,INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MEMORIAL HOSPITAL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477633766
- **Authorized official:** MR. JOE H LANIUS (VICE PRESIDENT, FINANCE)
- **Authorized official phone:** (618) 257-5648

## Contact information

- **Practice address:** 4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
- **Practice address phone:** (618) 233-7750
- **Mailing address:** 4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
- **Mailing address phone:** (618) 233-7750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 0001461 | IL | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 02/19/2013