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MEMORIAL PHYSICIAN SERVICES
NPI 1245822170
Clinic/Center - Rural Health in Beardstown, IL

Active since February 11, 2021CLIA 14D2165194 · Waiver
8460 SAINT LUKES DR, BEARDSTOWN, IL 62618(217) 544-0306(217) 323-1739 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Feb 11, 2021 (2 updates tracked since 2021).

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1245822170) is a healthcare organization registered as a rural health in Beardstown, Illinois and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 22, 2027 and lists Ann Bowling, Director, as its authorized official.

NPPES Registry Identity

NPI1245822170
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address8460 SAINT LUKES DRBeardstown, IL 62618-8385
Mailing Address8460 Saint Lukes DrBeardstown, IL 62618-8385 · (217) 544-0306 · Fax (217) 323-1739
Phone(217) 544-0306
Fax(217) 323-1739
Organization SubpartNo
Authorized OfficialAnn BowlingDirector · (217) 588-2626
Enumeration DateFebruary 11, 2021
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1245822170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
8460 SAINT LUKES DR, Beardstown, IL 62618
Open in Google Maps ↗

Other Identifiers 1

Other148905IL · Rhc Ptan

CLIA Laboratory Certificates CMS CLIA

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 14D2165194

Memorial Physician Services Beardstown · Beardstown, IL
Active · expires Apr 22, 2027
CLIA Number14D2165194
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2025
Certificate Expiration DateApril 22, 2027
Laboratory DirectorAnthony M. Griffin M D
Laboratory Phone(217) 544-0306
Laboratory LocationMemorial Physician Services Beardstown8460 St Luke's Dr, Beardstown, IL 62618
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SCHUYLER COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
8460 SAINT LUKES DR
BEARDSTOWN, IL 62618
Cass County (217) 323-2707

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 1245822170. It was assigned to this organization in the NPPES registry on February 11, 2021.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 8460 Saint Lukes Dr, Beardstown, IL 62618. The listed phone number is (217) 544-0306.

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.

Does Memorial Physician Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2165194) is associated with this NPI, valid through April 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Memorial Physician Services was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.