MASSAC MEMORIAL HOSPITAL
NPI 1790788578
General Acute Care Hospital - Critical Access in Metropolis, IL

Active since May 24, 2005
28 CHICK ST, METROPOLIS, IL 62960(618) 524-2176(618) 524-4131 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 20, 2018, Oct 24, 2018 (2 updates tracked since 2018).

About Massac Memorial Hospital NPPES

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

MASSAC MEMORIAL HOSPITAL (NPI 1790788578) is a healthcare organization registered as a critical access in Metropolis, Illinois and active in the NPI registry since May 2005. The organization lists Lynn Goines, Cfo, as its authorized official.

NPPES Registry Identity

NPI1790788578
Entity TypeOrganization
Primary Taxonomy282NC0060X
Legal Business NameMASSAC MEMORIAL HOSPITAL
Location Address28 CHICK STMetropolis, IL 62960-2467
Mailing AddressPo Box 850, 28 Chick StMetropolis, IL 62960-0850 · (618) 524-2176 · Fax (618) 524-4131
Fax(618) 524-4131
Organization SubpartYesParent: Massac County Hospital District
Authorized OfficialLynn GoinesCfo · (618) 524-2176
Enumeration DateMay 24, 2005
Last NPPES UpdateDecember 21, 20232 updates tracked since enumeration
NPPES CertifiedDecember 21, 2023
✔ NPI 1790788578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code282NC0060X
License✔ Licensed in IL · 0001420
Also ListedSkilled Nursing FacilityTaxonomy 314000000X
28 CHICK ST, Metropolis, IL 62960

Other Names 1

Other NameMassac Memorial Hospital

Other Identifiers 9

Medicaid13019IL
Medicaid0140042TN
Other037520699Energy Employees Occup Il
Other6415006IL · Blue Shield Illinois
Medicaid01330034KY
Other111575Healthlink
Other317IL · Blue Cross Illinois
Other3582TN · Blue Cross
OtherHEALTH ALLIANCE000795

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Massac Memorial Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Massac Memorial Hospital, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 14 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Nurse Practitioner5
Family Practice3
Cardiovascular Disease (Cardiology)1
Certified Registered Nurse Anesthetist (CRNA)1
Internal Medicine1
Mental Health Counselor1
Otolaryngology1
Pain Management1
2 other specialties2

Clinicians, nearest first (16)

Psychiatry
NPI 1588026579
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 524-8381
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881928992
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 638-1343
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1427286038
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 638-1343
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1245079680
28 CHICK ST
Metropolis, IL 62960
(618) 524-2176
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1306825500
28 CHICK ST STE 100
Metropolis, IL 62960
(618) 524-8381
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1073153235
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts Medicare0.2 mi
Internal Medicine
NPI 1992735526
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS0.2 mi
Nurse Practitioner
NPI 1114285517
12 HOSPITAL DR
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts Medicare0.2 mi
Family Practice
NPI 1487393674
1204 W 10TH ST STE C
Metropolis, IL 62960
(618) 524-2182
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1205545639
1204 W 10TH ST
Metropolis, IL 62960
(618) 524-3572
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1194695213
1204 W 10TH ST
Metropolis, IL 62960
(618) 524-3572
✔ PECOS✔ Accepts Medicare0.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1154352045
3042 LAKEVIEW DR
Metropolis, IL 62960
(618) 524-9217
✔ PECOS✔ Accepts Medicare2.4 mi
Pain Management
NPI 1710958640
100 CLINT HILL BLVD
Paducah, KY 42001
(270) 442-9461
✔ PECOS✔ Accepts Medicare8.9 mi
Cardiovascular Disease (Cardiology)
NPI 1225038698
2601 KENTUCKY AVE STE 402
Paducah, KY 42003
(270) 575-3113
✔ PECOS✔ Accepts Medicare9.1 mi
Otolaryngology
NPI 1346274438
617 OLD SYMSONIA RD
Benton, KY 42025
(270) 339-5269
✔ PECOS✔ Accepts Medicare29 mi
Sleep Medicine
NPI 1811085293
8305 EXPRESS DR STE C
Marion, IL 62959
(618) 993-0086
✔ PECOS✔ Accepts Medicare42 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Quality Ratings CMS Care Compare

Quality and patient-experience ratings for Massac Memorial Hospital (CMS certification number 141323), from CMS Care Compare.

Massac Memorial Hospital

Critical Access Hospitals · Metropolis, IL
OwnershipProprietary
CMS Certification Number141323
Location28 Chick Street, PO Box 850Metropolis, IL 62960 · Massac County · (618) 524-2176
Emergency services Meaningful use of EHRs

Complications & Deaths 3

Death rate for COPD patients
10.3% No different than national
Death rate for heart failure patients
Cases too small to report
Death rate for pneumonia patients
14.4% No different than national

Unplanned Hospital Visits 7

Hospital return days for heart failure patients
Cases too small to report
Hospital return days for pneumonia patients
74 days per 100 discharges
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)
161 No different than national
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients
48 No different than national
Heart failure (HF) 30-Day Readmission Rate
Cases too small to report
Rate of readmission after discharge from hospital (hospital-wide)
190 No different than national

Timely & Effective Care 6

Admit Decision Time to ED Departure Time for Admitted Patients - non psychiatric/mental health disorders
22 minutes
Percentage of healthcare personnel who are up to date with COVID-19 vaccinations
11.2%
Healthcare workers given influenza vaccination
80%
Average (median) time patients spent in the emergency department before leaving from the visit A lower number of minutes is better
107 minutes
Safe Use of Opioids - Concurrent Prescribing
29%
Venous Thromboembolism Prophylaxis
44%

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 Massac Memorial Hospital's NPI number?

The NPI number for Massac Memorial Hospital is 1790788578. It was assigned to this organization in the NPPES registry on May 24, 2005.

Where is Massac Memorial Hospital located?

Massac Memorial Hospital is located at 28 Chick St, Metropolis, IL 62960. The listed phone number is (618) 524-2176.

What is Massac Memorial Hospital's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital, specializing in Critical Access, with taxonomy code 282NC0060X.

Is Massac Memorial Hospital enrolled in Medicare?

Yes. Massac Memorial Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Massac Memorial Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 10 Medicare specialties reassign their Medicare billing to Massac Memorial Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (3) and Cardiovascular Disease (Cardiology) (1). Of these, 4 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Massac Memorial Hospital a Medicare-certified hospital?

Yes. Massac Memorial Hospital is a Medicare-certified hospital (Critical Access Hospitals). The hospital provides emergency services.

When was this NPI record last updated?

The NPPES record for Massac Memorial Hospital was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.