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MEMORIAL MEDICAL AUGUSTA CLINIC
NPI 1275979031
Nurse Practitioner - Family in Augusta, IL

Active since May 20, 2013
204 CENTER ST, AUGUSTA, IL 62311(217) 392-2108(217) 392-2110 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Medical Augusta Clinic NPPES

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

MEMORIAL MEDICAL AUGUSTA CLINIC (NPI 1275979031) is a healthcare organization registered as a family in Augusta, Illinois and active in the NPI registry since May 2013. The organization lists Jessie Fifer, Special Projects Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275979031
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMEMORIAL HOSPITAL ASSOCIATION
Location Address204 CENTER STAugusta, IL 62311-1228
Mailing AddressPo Box 160Carthage, IL 62321-0160 · (217) 357-6512 · Fax (217) 357-6544
Phone(217) 392-2108
Fax(217) 392-2110
Organization SubpartYes
Authorized OfficialJessie FiferSpecial Projects Coordinator · (217) 357-6594
Enumeration DateMay 20, 2013
✔ NPI 1275979031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedFamily MedicineTaxonomy 207Q00000X
204 CENTER ST, Augusta, IL 62311
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Other Names 1

Doing Business AsMemorial Medical Augusta Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MRS. KAREN JANE LAND A.R.N.P.
Nurse Practitioner
204 CENTER ST
AUGUSTA, IL 62311
Hancock County (217) 392-2108
MRS. LUANNE DEE JOHNSON NURSE PRACTITIONER
Nurse Practitioner
204 CENTER ST
AUGUSTA, IL 62311
Hancock County (217) 392-2108

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 1275979031. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as Memorial Medical Augusta Clinic.

Where is Memorial Hospital Association located?

Memorial Hospital Association is located at 204 Center St, Augusta, IL 62311. The listed phone number is (217) 392-2108.

What is Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Memorial Hospital Association was last updated on May 20, 2013. 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.