Organization
MASSAC MEMORIAL HOSPITAL
Active
Parent organization
MASSAC COUNTY HOSPITAL DISTRICT
Other names
Massac Memorial Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
MASSAC COUNTY HOSPITAL DISTRICT
Authorized official
MRS. LYNN GOINES (CFO)
(618) 524-2176
Entity
Organization
Contact information
Practice address
28 CHICK ST, METROPOLIS, IL 62960-2467
(618) 524-2176
(618) 524-4131
Mailing address
PO BOX 850, 28 CHICK ST, METROPOLIS, IL 62960-0850
(618) 524-2176
(618) 524-4131
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
0001420
IL
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330034
—
KY
05
—
0140042
—
TN
01
—
037520699
ENERGY EMPLOYEES OCCUP IL
—
01
—
111575
HEALTHLINK
—
05
—
13019
—
IL
01
—
317
BLUE CROSS ILLINOIS
IL
01
—
3582
BLUE CROSS
TN
01
—
6415006
BLUE SHIELD ILLINOIS
IL
01
—
HEALTH ALLIANCE
000795
—
Enumeration date
05/24/2005
Last updated
12/21/2023
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