Organization
MASSAC MEMORIAL HOSPITAL
Active
Other names
Massac Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN GOINES (CHIEF FINANCIAL OFFICER)
(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 STREET, METROPOLIS, IL 62960-0850
(618) 524-2176
(618) 524-4131
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
0001420
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01330034
—
KY
01
—
037520699
ENERGY EMPLOYEES OCCUP II
IL
01
—
111575
HEALTHLINK
IL
01
—
317
BLUE CROSS
IL
Enumeration date
02/27/2007
Last updated
08/04/2025
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