Organization
MEMORIAL HOME SERVICES
Active
Other names
Memorial Home Health
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA ANN KING RN, BSN (DIRECTOR- HOME HEALTH)
(217) 788-4663
Entity
Organization
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-4952
(217) 788-4663
(217) 788-5557
Mailing address
701 N 1ST ST, SPRINGFIELD, IL 62781-4952
(217) 788-4663
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1002377
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009326
HEALTH ALLIANCE MED PLAN
IL
01
—
137487
HEALTHLINK
IL
01
—
9866
BLUE CROSS BLUE SHIELD HH
IL
01
—
L016474
TRICARE
IL
Enumeration date
05/23/2005
Last updated
05/30/2024
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