Organization
MEMORIAL HOSPITAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA SMITH (CFO)
(217) 357-8573
Entity
Organization
Contact information
Practice address
1450 N COUNTY ROAD 2050 E, CARTHAGE, IL 62321-3551
(217) 357-6888
(217) 357-6889
Mailing address
PO BOX 160, CARTHAGE, IL 62321-0160
(217) 357-8500
(217) 357-6564
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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