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
1602 W LAFAYETTE AVE, JACKSONVILLE, IL 62650-1007
(217) 243-7200
(217) 243-6165
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148906
RHC MEDICARE PTAN
—
Enumeration date
10/24/2012
Last updated
10/26/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us