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Organization
MEMORIAL PHYSICIAN SERVICES
Active
Organization
MEMORIAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T DOWELL (VICE PRESIDENT, MPS)
(217) 788-3342
Entity
Organization
Contact information
Practice address
15 FOUNDERS LN, SUITE 100, JACKSONVILLE, IL 62650-3919
(217) 243-0300
(217) 245-6775
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/24/2012
Last updated
02/11/2021
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