MEMORIAL PHYSICIAN SERVICES
NPI 1558614867
Clinic/Center - Rural Health in Jacksonville, IL
About Memorial Physician Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL PHYSICIAN SERVICES (NPI 1558614867) is a healthcare organization registered as a rural health in Jacksonville, Illinois and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through August 27, 2026 and lists James T Dowell, Vice President, Mps, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 14D1088575
Memorial Physician Services - Jacksonville · Jacksonville, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1558614867. It was assigned to this organization in the NPPES registry on October 24, 2012.
Where is Memorial Physician Services located?
Memorial Physician Services is located at 15 Founders Ln Suite 100, Jacksonville, IL 62650. The listed phone number is (217) 243-0300.
What is Memorial Physician Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Memorial Physician Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1088575) is associated with this NPI, valid through August 27, 2026. 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 February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
