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FAIRFIELD MEMORIAL HOSPITAL
NPI 1770594277
Pharmacy - Institutional Pharmacy in Fairfield, IL

Active since August 10, 2006CLIA 14D2143194 · Waiver
303 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-2611(618) 847-8370 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Fairfield Memorial Hospital NPPES

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

FAIRFIELD MEMORIAL HOSPITAL (NPI 1770594277) is a healthcare organization registered as an institutional pharmacy in Fairfield, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Stephen Dawkins, Dir Of Pharmacy Ops, as its authorized official.

NPPES Registry Identity

NPI1770594277
Entity TypeOrganization
Primary Taxonomy3336I0012X
Legal Business NameFAIRFIELD MEMORIAL HOSPITAL
Location Address303 NW 11TH STFairfield, IL 62837-1203
Mailing Address303 Nw 11th StFairfield, IL 62837-1203
Phone(618) 842-2611
Fax(618) 847-8370
Organization SubpartNo
Authorized OfficialStephen DawkinsDir Of Pharmacy Ops · (618) 842-2611
Enumeration DateAugust 10, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1770594277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Institutional PharmacySuppliers
Taxonomy Code3336I0012X
Definition
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Other Identifiers 1

Other1479915Other Id Number-commercial Number

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 14D2143194

Fairfield Memorial Hospital Horizon Health Care - Cisne Clinic · Cisne, IL
Active · expires Jan 24, 2028
CLIA Number14D2143194
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 25, 2026
Certificate Expiration DateJanuary 24, 2028
Laboratory DirectorMarla K. Lafikas MD
Laboratory Phone(618) 842-2611
Laboratory LocationFairfield Memorial Hospital Horizon Health Care - Cisne Clinic413 Park St, Cisne, IL 62823
CLIA data matches this NPI record on: 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.

WHITNEY ELAINE BUCKLES RD, LDN
Dietitian, Registered
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8326
DANA SHANTEL TAYLOR LCSW
Social Worker (Clinical)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8362
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
Clinic/Center (Rural Health)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MRS. MARY LOU MCCULLEY RN CDE
Health Educator
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
DEANDRA MARISSAH THOMPSON PA
Physician Assistant
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
MASON SPITZNER CRNA
Nurse Anesthetist, Certified Registered
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 842-2611
FAIRFIELD MEMORIAL HOSPITAL ASSOCIATION
General Acute Care Hospital (Critical Access)
303 NW 11TH ST
FAIRFIELD, IL 62837
Wayne County (618) 847-8260
TOTAL RENAL CARE INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
303 NW 11TH ST, STE 1
FAIRFIELD, IL 62837
Wayne County (618) 842-7204

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 Fairfield Memorial Hospital's NPI number?

The NPI number for Fairfield Memorial Hospital is 1770594277. It was assigned to this organization in the NPPES registry on August 10, 2006.

Where is Fairfield Memorial Hospital located?

Fairfield Memorial Hospital is located at 303 NW 11th St, Fairfield, IL 62837. The listed phone number is (618) 842-2611.

What is Fairfield Memorial Hospital's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Institutional Pharmacy, with taxonomy code 3336I0012X.

Does Fairfield Memorial Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2143194) is associated with this NPI, valid through January 24, 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 Fairfield Memorial Hospital was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.