Massac Memorial Hospital

LBN: Massac Memorial Hospital
Massac Memorial Hospital is an health care organization with primary practice located at 28 Chick St , Metropolis IL 62960-2467. The organization recently has 2 registered licenses in different health care specialties including Hospitals / Critical Access, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Hospitals / Critical Access is the primary health care specialty. Massac Memorial Hospital can be contacted via phone (618) 524-2176, or through Goines, Lynn via phone (618) 524-2176.

Contact Information

Primary practice address
28 Chick St Metropolis IL 62960-2467
Phone: (618) 524-2176
Fax: (618) 524-4131
Website:
Map and Directions
Authorized official contact:
Name: Goines, Lynn
Phone: (618) 524-2176

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Critical Access 282NC0060X 0001420 Illinois
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1790788578
LBN Legal business name Massac Memorial Hospital
DBA Doing business as Massac Memorial Hospital
Authorized official Goines, Lynn
Entity Organization
Organization subpart 1 Yes
Enumeration date May 24th, 2005
Last updated Dec 21st, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790788578 NPPES
Illinois MEDICAID 13019
Illinois MEDICAID 0140042
Illinois Other 037520699
Illinois Other 6415006
Illinois MEDICAID 01330034
Illinois Other 111575
Illinois Other 317
Illinois Other 3582
Illinois Other HEALTH ALLIANCE

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