MEMORIAL HOSPITAL
NPI 1073858262
General Acute Care Hospital - Critical Access in Carthage, IL

Active since November 29, 2012CLIA 14D0434688 · Accreditation
1454 N COUNTY ROAD 2050, CARTHAGE, IL 62321(217) 357-8500(217) 357-8564 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Memorial Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL HOSPITAL (NPI 1073858262) is a healthcare organization registered as a critical access in Carthage, Illinois and active in the NPI registry since November 2012. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Ada Bair, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073858262
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMEMORIAL HOSPITAL ASSOCIATION
Location Address1454 N COUNTY ROAD 2050Carthage, IL 62321-3551
Mailing AddressPo Box 160Carthage, IL 62321-0160 · (217) 357-8500 · Fax (217) 357-8564
Fax(217) 357-8564
Organization SubpartNo
Authorized OfficialAda BairCeo · (217) 357-8566
Enumeration DateNovember 29, 2012
Last NPPES UpdateApril 5, 2019
NPI 1073858262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code282NC0060X
License Licensed in IL · 0005611
1454 N COUNTY ROAD 2050, Carthage, IL 62321

Other Names 1

Doing Business AsMemorial Hospital

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D0434688
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. ERIC E. SANTOS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Memorial Hospital on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for MEMORIAL HOSPITAL

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Surgery
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
General Acute Care Hospital (Critical Access)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
Nurse Practitioner (Family)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073858262, enumerated as an "organization" on November 29, 2012.

The provider is located at 1454 N COUNTY ROAD 2050 CARTHAGE, IL 62321 and the phone number is (217) 357-8500.

General Acute Care Hospital with taxonomy code 282NC0060X and a focus in Critical Access.