# MEMORIAL HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL ASSOCIATION
- **Other names:** MEMORIAL MEDICAL CLINIC BROADWAY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679327779
- **Legal business name:** MEMORIAL HOSPITAL ASSOCIATION
- **Authorized official:** TERESA SMITH (CFO)
- **Authorized official phone:** (217) 357-8500

## Contact information

- **Practice address:** 951 BROADWAY ST, HAMILTON, IL 62341-1436
- **Practice address phone:** (217) 551-3100
- **Practice address fax:** (217) 551-3024
- **Mailing address:** PO BOX 160, CARTHAGE, IL 62321-0160
- **Mailing address phone:** (217) 357-8500
- **Mailing address fax:** (217) 357-6564

## Taxonomy

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

## Other

- **Enumeration date:** 04/15/2024
- **Last updated:** 04/15/2024