Memorial Care Center

LBN: Protestant Memorial Medical Center, Inc.
Memorial Care Center is an health care organization with primary practice located at 4315 Memorial Dr , Belleville IL 62226-5342. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Protestant Memorial Medical Center, Inc. can be contacted via phone (618) 257-5060, or through Gusmano, Jane via phone (618) 257-5606.

Contact Information

Primary practice address
4315 Memorial Dr Belleville IL 62226-5342
Phone: (618) 257-5060
Fax: (618) 257-6940
Website:
Map and Directions
Authorized official contact:
Name: Gusmano, Jane
Phone: (618) 257-5606

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0003103 Illinois

Profile Details

NPI number 1285729210
LBN Legal business name Protestant Memorial Medical Center, Inc.
DBA Doing business as Memorial Care Center
Authorized official Gusmano, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 9th, 2022 - about 2 years ago

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 1285729210 NPPES
Illinois MEDICAID 390635502002

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