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

Active since November 29, 2012CLIA Certified · 2 labs
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: August 09, 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 2 active CLIA laboratory certificates 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
Phone(217) 357-8500
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

★ Primary SpecialtyGeneral Acute Care Hospital · Critical AccessHospitals
Taxonomy Code282NC0060X
License✔ Licensed in IL · 0005611
1454 N COUNTY ROAD 2050, Carthage, IL 62321
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Hospital

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2264211

Memorial Hospital · Carthage, IL
Active · expires Jul 11, 2028
CLIA Number14D2264211
Laboratory TypeHospital
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorVictoria Popela
Laboratory Phone(217) 357-8630
Laboratory LocationMemorial Hospital1454 N County Rd 2050 - PO Box 160, Carthage, IL 62321
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0434688

Memorial Hospital · Carthage, IL
Active · expires Feb 27, 2027
CLIA Number14D0434688
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Eric E. Santos
Laboratory Phone(217) 357-8632
Laboratory LocationMemorial Hospital1454 N County Rd 2050 - P O Box 160, Carthage, IL 62321
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RANDALL PETERS MD
Surgery
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
Hancock County (217) 357-8500
MS. TRACEY LYNN-SEVERT BEHYMER FNP-BC
Nurse Practitioner (Family)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
Hancock County (217) 357-8500
MEMORIAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
1454 N COUNTY ROAD 2050
CARTHAGE, IL 62321
Hancock County (217) 357-8562

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Memorial Hospital Association's NPI number?

The NPI number for Memorial Hospital Association is 1073858262. It was assigned to this organization in the NPPES registry on November 29, 2012. The provider is doing business as Memorial Hospital.

Where is Memorial Hospital Association located?

Memorial Hospital Association is located at 1454 N County Road 2050, Carthage, IL 62321. The listed phone number is (217) 357-8500.

What is Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Does Memorial Hospital Association hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Association was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.