# DECATUR 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639134117
- **Authorized official:** JAMES E MARTINEZ ATC, CSCS (ATHLETIC TRAINER)
- **Authorized official phone:** (217) 358-2805

## Contact information

- **Practice address:** 2300 N EDWARD ST, DECATUR, IL 62526-4163
- **Practice address phone:** (217) 876-2690
- **Mailing address:** 2230 W RAVINA PARK RD, DECATUR, IL 62526-3047
- **Mailing address phone:** (217) 358-2805

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 08/22/2020