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MEMORIAL PHYSICIAN SERVICES
NPI 1417922964
Clinic/Center - Multi-Specialty in Springfield, IL

Active since February 20, 2006CLIA Certified · 2 labs
701 N 1ST ST, SPRINGFIELD, IL 62781(217) 757-7491(217) 757-2021 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1417922964) is a healthcare organization registered as a multi-specialty in Springfield, Illinois and active in the NPI registry since February 2006. The organization holds 2 active CLIA laboratory certificates and lists Edgar J Curtis, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1417922964
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address701 N 1ST STSpringfield, IL 62781-0001
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 757-7688 · Fax (217) 757-2021
Phone(217) 757-7491
Fax(217) 757-2021
Organization SubpartNo
Authorized OfficialEdgar J CurtisPresident And Ceo · (217) 788-3340
Enumeration DateFebruary 20, 2006
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1417922964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
701 N 1ST ST, Springfield, IL 62781
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Other Identifiers 3

OtherCA7115IL · Railroad Medicare Group
OtherCA3161IL · Railroad Medicare Group
Medicare ID-Type Unspecified350674IL · Group Number

CLIA Laboratory Certificates CMS CLIA 2

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 14D1102655

Memorial Physician Services - South Sixth · Springfield, IL
Active · expires Jul 21, 2027
CLIA Number14D1102655
Laboratory TypePhysician Office
Certificate Effective DateJuly 22, 2025
Certificate Expiration DateJuly 21, 2027
Laboratory DirectorLydia S. Villafuerte
Laboratory Phone(217) 588-7450
Laboratory LocationMemorial Physician Services - South Sixth2950 S 6th St, Springfield, IL 62703
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1102113

Memorial Physician Services - North Dirksen · Springfield, IL
Active · expires Jul 12, 2027
CLIA Number14D1102113
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorJoshua R. Ellison
Laboratory Phone(217) 588-7400
Laboratory LocationMemorial Physician Services - North Dirksen3220 Atlanta St, Springfield, IL 62707
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. LUCAS B STOLLER PHARMD
Pharmacist (Critical Care)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 588-6402
DR. REBECCA NICHOLE MAHON PHD. DABR
Radiology (Radiological Physics)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
CAROL A GORDEN CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
MEMORIAL HOME SERVICES
Hospice Care, Community Based
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-4663
DR. SWAPNA NEKKANTI M.D
Hospitalist
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 528-7541
ANN R LARSON CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST, ANESTHESIA DEPARTMENT
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3754
KELSEY A WALLACE CRNA
Nurse Anesthetist, Certified Registered
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000
MEMORIAL MEDICAL CENTER
Clinic/Center (Multi-Specialty)
701 N 1ST ST
SPRINGFIELD, IL 62781
Sangamon County (217) 788-3000

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 1417922964. It was assigned to this organization in the NPPES registry on February 20, 2006.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 701 N 1st St, Springfield, IL 62781. The listed phone number is (217) 757-7491.

What is Memorial Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Memorial Physician Services hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Memorial Physician Services was last updated on January 16, 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.