Organization
MEMORIAL HOSPITAL
Active
Other names
Randolph Hospital District
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GAIL MIESNER (CFO)
(618) 826-4581
Entity
Organization
Contact information
Practice address
602 W SHAWNEETOWN TRL, STEELEVILLE, IL 62288-1126
(618) 965-3382
Mailing address
1900 STATE ST, CHESTER, IL 62233-1116
(618) 826-4581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036-051292
IL
207Q00000X
Family Medicine Physician
036-052369
IL
207Q00000X
Family Medicine Physician
036-087561
IL
207Q00000X
Family Medicine Physician
036-130378
IL
261QR1300X
Rural Health Clinic/Center
Primary
—
—
282NC0060X
Critical Access Hospital
001495
IL
363A00000X
Physician Assistant
085-003568
IL
363A00000X
Physician Assistant
085-003575
IL
363L00000X
Nurse Practitioner
209-009681
IL
Other
Enumeration date
02/09/2015
Last updated
06/09/2015
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