Organization
MASSAC MEMORIAL HOSPITAL
Active
Other names
Massac Memorial Medical Clinic II
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN GOINES (CHIEF FINANCIAL OFFICER)
(618) 524-2176
Entity
Organization
Contact information
Practice address
1204 W 10TH ST STE C, METROPOLIS, IL 62960-2482
(618) 524-2182
(618) 524-8224
Mailing address
PO BOX 850, METROPOLIS, IL 62960-0850
(618) 524-2176
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2016
Last updated
07/30/2025
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