Organization
MEMORIAL HOSPITAL ASSOCIATION
Active
Parent organization
MEMORIAL HOSPITAL ASSOCIATION
Other names
Women & Family Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL ASSOCIATION
Authorized official
ADA M BAIR (CEO)
(217) 357-8566
Entity
Organization
Contact information
Practice address
403 S ADAMS ST, SUITE 239, CARTHAGE, IL 62321-1624
(217) 357-0617
(217) 357-0615
Mailing address
PO BOX 160, CARTHAGE, IL 62321-0160
(217) 357-0617
(217) 357-0615
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0001529
IL
Other
Enumeration date
05/12/2006
Last updated
04/05/2019
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