MEMORIAL PHYSICIAN SERVICES
NPI 1790038099
Clinic/Center - Rural Health in Petersburg, IL

Active since October 24, 2012
1 CENTRE DR, PETERSBURG, IL 62675(217) 632-7761(217) 632-0312 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Memorial Physician Services NPPES

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

MEMORIAL PHYSICIAN SERVICES (NPI 1790038099) is a healthcare organization registered as a rural health in Petersburg, Illinois and active in the NPI registry since October 2012. The organization lists James T Dowell, Vice President, Mps, as its authorized official.

NPPES Registry Identity

NPI1790038099
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL PHYSICIAN SERVICES
Location Address1 CENTRE DRPetersburg, IL 62675-9467
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Fax(217) 632-0312
Organization SubpartNo
Authorized OfficialJames T DowellVice President, Mps · (217) 788-3342
Enumeration DateOctober 24, 2012
Last NPPES UpdateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
NPI 1790038099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1 CENTRE DR, Petersburg, IL 62675

Other Identifiers 1

Other143936Rhc Medicare Ptan

Other Providers at the Same Location NPPES 14

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

Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Nurse Practitioner (Family)
1 CENTRE DR
PETERSBURG, IL 62675
Clinic/Center (Multi-Specialty)
1 CENTRE DR
PETERSBURG, IL 62675
Pharmacist
1 CENTRE DR
PETERSBURG, IL 62675
Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Occupational Therapist
1 CENTRE DR
PETERSBURG, IL 62675
Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Pharmacy (Community/Retail Pharmacy)
1 CENTRE DR, SUITE 100
PETERSBURG, IL 62675

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 1790038099. 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 1 Centre Dr, Petersburg, IL 62675. The listed phone number is (217) 632-7761.

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.

When was this NPI record last updated?

The NPPES record for Memorial Physician Services was last updated on February 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.