Organization
MASSAC MEMORIAL HOSPITAL
Active
Other names
Massac Memorial Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN GOINES (CFO)
(618) 524-2176
Entity
Organization
Contact information
Practice address
1204 W 10TH ST STE A&B, METROPOLIS, IL 62960-2480
(618) 524-2176
(618) 524-4131
Mailing address
PO BOX 790, METROPOLIS, IL 62960-0790
(618) 524-2176
(618) 524-4131
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
0001420
IL
Other
Enumeration date
11/22/2006
Last updated
08/04/2025
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