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: October 25, 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
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

Other Names 1

Doing Business AsMassac Memorial Medical Clinic Ii

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Massac Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Massac Memorial Hospital, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Nurse Practitioner5
Family Practice3
Cardiovascular Disease (Cardiology)1
Certified Registered Nurse Anesthetist (CRNA)1
Internal Medicine1
Mental Health Counselor1
Otolaryngology1
Pain Management1
2 other specialties2

Clinicians, nearest first (16)

Family Practice
NPI 1487393674
1204 W 10TH ST STE C
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1205545639
1204 W 10TH ST
Metropolis, IL 62960
(618) 524-3572
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194695213
1204 W 10TH ST
Metropolis, IL 62960
(618) 524-3572
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1073153235
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1992735526
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1114285517
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1306825500
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 524-8381
✔ PECOS✔ Accepts Medicare0.3 mi
Psychiatry
NPI 1588026579
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 524-8381
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1881928992
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 638-1343
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1427286038
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 638-1343
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1245079680
28 CHICK ST
Metropolis, IL 62960
(618) 524-2176
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154352045
3042 LAKEVIEW DR
Metropolis, IL 62960
(618) 524-9217
✔ PECOS✔ Accepts Medicare2.5 mi
Pain Management
NPI 1710958640
100 CLINT HILL BLVD
Paducah, KY 42001
(270) 442-9461
✔ PECOS✔ Accepts Medicare8.5 mi
Cardiovascular Disease (Cardiology)
NPI 1225038698
2601 KENTUCKY AVE STE 402
Paducah, KY 42003
(270) 575-3113
✔ PECOS✔ Accepts Medicare8.8 mi
Otolaryngology
NPI 1346274438
617 OLD SYMSONIA RD
Benton, KY 42025
(270) 339-5269
✔ PECOS✔ Accepts Medicare29 mi
Sleep Medicine
NPI 1811085293
8305 EXPRESS DR STE C
Marion, IL 62959
(618) 993-0086
✔ PECOS✔ Accepts Medicare43 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Massac Memorial Hospital enrolled in Medicare?

Yes. Massac Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Massac Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 10 Medicare specialties reassign their Medicare billing to Massac Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (3) and Cardiovascular Disease (Cardiology) (1). Of these, 3 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Massac Memorial Hospital accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Massac Memorial Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 14 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.