NPIMap

Memorial Hospital

A Medicare group practice based in Chester, IL: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 5294649372), with 71 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294649372The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice, Part B Supplier - Mass Immunization (Roster Biller Only), Part B Supplier - Pharmacy
Enrolled in
IL
Enrollments
7
Group size
29 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
7In 2 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20221109000486 IL Part B Supplier - Mass Immunization (Roster Biller Only) 1023603289
O20210426002215 IL Part B Supplier - Pharmacy 1023603289
O20150414000281 IL Part A Provider - Rural Health Clinic 1225429566
O20150414000018 IL Part A Provider - Rural Health Clinic 1629469002
O20031113000382 IL Part B Supplier - Clinic/Group Practice 1851390132
O20080529000078 IL Part A Provider - Critical Access Hospital 1851390132
O20080529000137 IL Part A Provider - Critical Access Hospital 1851390132

NPIs in this group 4

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 71

Clinicians who reassign their Medicare benefits to this group (71) or whom Care Compare lists as members (29).

Sources for this page