National Provider Identifier Database

MEMORIAL MEDICAL CENTER
Children


Contact Information

MEMORIAL MEDICAL CENTER
701 N ST ST
MAB 528
SPRINGFIELD, IL62781-0001
Phone: 217-788-3000
Fax:
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for MEMORIAL MEDICAL CENTER

NPI Number 1124099098
Legal business name
LBN
MEMORIAL MEDICAL CENTER
Authorized official JAMESON ROSZHART - (PRESIDENT & CEO)
Entity Organization
Organization subpart No
Enumeration date 01/30/2006
Last updated 06/14/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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