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MEMORIAL PHYSICIAN SERVICES
NPI 1104179415
Clinic/Center - Rural Health in Jacksonville, IL

Active since October 24, 2012
1602 W LAFAYETTE AVE, JACKSONVILLE, IL 62650(217) 243-7200(217) 243-6165 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1104179415) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2012. The organization lists James T Dowell, Vice President, Mps, as its authorized official.

NPPES Registry Identity

NPI1104179415
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address1602 W LAFAYETTE AVEJacksonville, IL 62650-1007
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Phone(217) 243-7200
Fax(217) 243-6165
Organization SubpartNo
Authorized OfficialJames T DowellVice President, Mps · (217) 788-3342
Enumeration DateOctober 24, 2012
Last NPPES UpdateOctober 26, 2012
✔ NPI 1104179415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1602 W LAFAYETTE AVE, Jacksonville, IL 62650
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Other Identifiers 1

Other148906Rhc Medicare Ptan

Other Providers at the Same Location NPPES 9

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

HEALTHCARE NETWORK ASSOCIATES
Clinic/Center (Multi-Specialty)
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
DR. MARSHALL T HALE M.D.
Family Medicine
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
DR. JAMES ANTHONY BOHAN M.D.
Family Medicine
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
ABBY L CUNNINGHAM FNP
Nurse Practitioner (Family)
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
HEALTHCARE NETWORK ASSOCIATES OF SANGAMON
Family Medicine
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
JACKSONVILLE, LLC
Clinic/Center (Rural Health)
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
JACKSONVILLE, LLC
Family Medicine
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200
DR. JAMES EDWARD HINCHEN M.D.
Family Medicine
1602 W LAFAYETTE AVE
JACKSONVILLE, IL 62650
Morgan County (217) 243-7200

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 Physician Services's NPI number?

The NPI number for Memorial Physician Services is 1104179415. It was assigned to this organization in the NPPES registry on October 24, 2012.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 1602 W Lafayette Ave, Jacksonville, IL 62650. The listed phone number is (217) 243-7200.

What is Memorial Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Memorial Physician Services was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.