# MASSAC MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1740355809
- **Authorized official:** MRS. LYNN GOINES (CFO)
- **Authorized official phone:** (618) 524-2176

## Contact information

- **Practice address:** 1204 W 10TH ST STE A&B, METROPOLIS, IL 62960-2480
- **Practice address phone:** (618) 524-2176
- **Practice address fax:** (618) 524-4131
- **Mailing address:** PO BOX 790, METROPOLIS, IL 62960-0790
- **Mailing address phone:** (618) 524-2176
- **Mailing address fax:** (618) 524-4131

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 0001420 | IL | Yes |

## Other

- **Enumeration date:** 11/22/2006
- **Last updated:** 08/04/2025