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MASSAC MEMORIAL HOSPITAL
NPI 1417303181
Clinic/Center - Rural Health in Metropolis, IL

Active since May 11, 2016
1204 W 10TH ST STE C, METROPOLIS, IL 62960(618) 524-2182(618) 524-8224 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2023, Jul 11, 2019, Oct 24, 2018 and 1 more (4 updates tracked since 2016).

About Massac Memorial Hospital NPPES

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

MASSAC MEMORIAL HOSPITAL (NPI 1417303181), doing business as Massac Memorial Medical Clinic Ii, is a healthcare organization registered as a rural health in Metropolis, Illinois and active in the NPI registry since May 2016. The organization lists Lynn Goines, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1417303181
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMASSAC MEMORIAL HOSPITAL
Location Address1204 W 10TH ST STE CMetropolis, IL 62960-2482
Mailing AddressPo Box 850Metropolis, IL 62960-0850 · (618) 524-2176
Phone(618) 524-2182
Fax(618) 524-8224
Organization SubpartNo
Authorized OfficialLynn GoinesChief Financial Officer · (618) 524-2176
Enumeration DateMay 11, 2016
Last NPPES UpdateJuly 30, 20254 updates tracked since enumeration
NPPES CertifiedJuly 30, 2025
✔ NPI 1417303181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/Center · Critical Access HospitalTaxonomy 261QC0050X
1204 W 10TH ST STE C, Metropolis, IL 62960
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Other Names 1

Doing Business AsMassac Memorial Medical Clinic Ii

Other Providers at the Same Location NPPES

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

YUSHENG DONG MD
Family Medicine
1204 W 10TH ST STE C
METROPOLIS, IL 62960
Massac County (618) 524-2182

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 Massac Memorial Hospital's NPI number?

The NPI number for Massac Memorial Hospital is 1417303181. It was assigned to this organization in the NPPES registry on May 11, 2016. The provider is doing business as Massac Memorial Medical Clinic II.

Where is Massac Memorial Hospital located?

Massac Memorial Hospital is located at 1204 W 10th St Ste C, Metropolis, IL 62960. The listed phone number is (618) 524-2182.

What is Massac Memorial Hospital'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 Massac Memorial Hospital was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.