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MEMORIAL PHYSICIAN SERVICES
NPI 1477614105
Clinic/Center - Multi-Specialty in Lincoln, IL

Active since December 13, 2006CLIA 14D0435490 · Waiver
515 N COLLEGE ST, LINCOLN, IL 62656(217) 732-9681(217) 735-6527 Get Directions Write a Review

NPPES record last updated: January 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1477614105) is a healthcare organization registered as a multi-specialty in Lincoln, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Edgar J Curtis, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1477614105
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address515 N COLLEGE STLincoln, IL 62656-1401
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Phone(217) 732-9681
Fax(217) 735-6527
Organization SubpartNo
Authorized OfficialEdgar J CurtisPresident And Ceo · (217) 788-3340
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 16, 2013
✔ NPI 1477614105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
515 N COLLEGE ST, Lincoln, IL 62656
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Other Identifiers 1

Medicare OSCAR/certification143895IL

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 14D0435490

Memorial Physician Services - Lincoln · Lincoln, IL
Active · expires Apr 27, 2028
CLIA Number14D0435490
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorAmir John Wahab
Laboratory Phone(217) 732-9681
Laboratory LocationMemorial Physician Services - Lincoln515 North College Street, Lincoln, IL 62656
CLIA data matches this NPI record on: Address Name Phone
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.

EMILY TAYLOR BARR
Counselor (Professional)
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
FAMILY MEDICAL CENTER OF LINCOLN, LLC
Clinic/Center (Rural Health)
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
HEALTHCARE NETWORK ASSOCIATES
Family Medicine
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
LINDSAY OTERO FNP
Nurse Practitioner (Family)
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
DELANIE E HINDS APN
Nurse Practitioner (Family)
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
OLIVIA VALDEZ-MASSENA LCPC
Counselor (Professional)
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 735-2272
DR. KEVIN S LONDE DO
Family Medicine
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681
JAMES D FARRELL DO
Family Medicine
515 N COLLEGE ST
LINCOLN, IL 62656
Logan County (217) 732-9681

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 1477614105. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Memorial Physician Services located?

Memorial Physician Services is located at 515 N College St, Lincoln, IL 62656. The listed phone number is (217) 732-9681.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0435490) is associated with this NPI, valid through April 27, 2028. 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 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.