MEMORIAL PHYSICIAN SERVICES is a rural health clinic center in Jacksonville, IL. MEMORIAL PHYSICIAN SERVICES NPI is 1558614867. The provider is registered as an organization entity type.
The provider's business location address is:
15 FOUNDERS LN
SUITE 100
JACKSONVILLE, IL
ZIP 62650-919
Phone: (217) 243-0300
Fax: (217) 245-6775
The provider's authorized official is James T Dowell .
The authorized official title is Vice President, Mps and has the following contact phone number (217) 788-3342.
The CLIA number assigned to this NPI record is 14D1088575 - rural health clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 10/24/2012 and was last updated on 2/11/2021.