Organization · NPI-2

Memorial Medical Center

Psychiatric Unit · Springfield, IL

NPI number1316918287
StatusActive
Last updated in NPPESJun 14, 2024

Details

NPI
1316918287
Entity type
Organization (NPI-2)
Legal business name
Memorial Medical Center
Organization subpart
No
Enumeration date
Jan 30, 2006
Certification date
Jun 14, 2024
Last updated
Jun 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
273R00000X Psychiatric Unit–ILYes

Practice location

701 N 1st St
Springfield, IL 62781-0001

Phone 217-788-3000

Mailing address

701 N 1st St
Springfield, IL 62781-0001

Phone 217-788-3000

Authorized official

Jameson M Roszhart
President & Ceo
2177883000

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