Organization
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Active
Other names
Memorial Hospital Belleville
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KAREN GUSMANO (VICE PRESIDENT, CFO)
(618) 257-5607
Entity
Organization
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 257-5613
Mailing address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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