Organization
MEMORIAL PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN BOWLING (DIRECTOR)
(217) 588-2626
Entity
Organization
Contact information
Practice address
8460 SAINT LUKES DR, BEARDSTOWN, IL 62618-8385
(217) 544-0306
(217) 323-1739
Mailing address
8460 SAINT LUKES DR, BEARDSTOWN, IL 62618-8385
(217) 544-0306
(217) 323-1739
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148905
RHC PTAN
IL
Enumeration date
02/11/2021
Last updated
04/04/2024
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