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MEMORIAL MEDICAL CLINIC NAUVOO
NPI 1891972451
Clinic/Center - Rural Health in Nauvoo, IL

Active since January 25, 2008CLIA 14D0993475 · Waiver
1370 MULHOLLAND ST, NAUVOO, IL 62354(217) 453-6802(217) 453-2149 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 5, 2019, Jan 18, 2018 (2 updates tracked since 2018).

About Memorial Medical Clinic Nauvoo NPPES

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

MEMORIAL MEDICAL CLINIC NAUVOO (NPI 1891972451) is a healthcare organization registered as a rural health in Nauvoo, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Teresa Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1891972451
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMEMORIAL HOSPITAL ASSOCIATION
Location Address1370 MULHOLLAND STNauvoo, IL 62354-1010
Mailing AddressPo Box 160Carthage, IL 62321-0160 · (217) 357-6594 · Fax (217) 357-6564
Phone(217) 453-6802
Fax(217) 453-2149
Organization SubpartYes
Authorized OfficialTeresa SmithCfo · (217) 357-8573
Enumeration DateJanuary 25, 2008
Last NPPES UpdateApril 5, 20192 updates tracked since enumeration
✔ NPI 1891972451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1370 MULHOLLAND ST, Nauvoo, IL 62354
Open in Google Maps ↗

Other Names 1

Doing Business AsMemorial Medical Clinic Nauvoo

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 14D0993475

Memorial Medical Clinic - Navuoo · Nauvoo, IL
Active · expires Oct 1, 2027
CLIA Number14D0993475
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 2, 2025
Certificate Expiration DateOctober 1, 2027
Laboratory DirectorDouglas Heighton
Laboratory Phone(217) 453-6802
Laboratory LocationMemorial Medical Clinic - Navuoo1370 Mulholland St, Nauvoo, IL 62354
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. ANTHONY WILLIAM WASIELEWSKI APRN-BC
Nurse Practitioner (Family)
1370 MULHOLLAND ST
NAUVOO, IL 62354
Hancock County (217) 453-6802

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 Hospital Association's NPI number?

The NPI number for Memorial Hospital Association is 1891972451. It was assigned to this organization in the NPPES registry on January 25, 2008. The provider is doing business as Memorial Medical Clinic Nauvoo.

Where is Memorial Hospital Association located?

Memorial Hospital Association is located at 1370 Mulholland St, Nauvoo, IL 62354. The listed phone number is (217) 453-6802.

What is Memorial Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Memorial Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0993475) is associated with this NPI, valid through October 1, 2027. 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 Hospital Association was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.