Metro-East Services, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

METRO-EAST SERVICES, INC.

Doing business as

Memorial Hospital East

Practice address

1404 Cross St
Shiloh, IL 62269-2988

Phone

(618) 257-5607

NPI assigned

Aug 9, 2015

Last updated

Aug 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy Thomas

Title

Vice President, Finance

Phone

(618) 257-5607

Specialties & licenses 1

Addresses

Other names 1

• Memorial Hospital East Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023494473. Details of each certification follow.

• CCN 140307 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 140307

Legal name

MEMORIAL HOSPITAL EAST

Certification status

Terminated Voluntary: merger or closure, Jan 1, 2021

Provider type (POS)

Hospital – Short-term

Participating since

May 16, 2016

Last certification

May 16, 2016

Beds

94

Ownership / control type

Private (not for profit)

Facility address

1404 Cross Street
Shiloh, IL 62269

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439078400000",
    "number": "1023494473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 MEMORIAL DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265360",
            "telephone_number": "618-233-7750",
            "fax_number": "618-257-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 CROSS ST",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622692988",
            "telephone_number": "618-257-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO-EAST SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-09",
        "last_updated": "2015-08-09",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "618-257-5607",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley N Mehochko, MSN, APRN, FNP-BC
• Arkady Melikyan, MD
• Melanie Mensing, APRN
• Mercy Pharmacy Services LLC
• Metro East Dermatology & Skin Cancer Center LLC
• Mitas LLC (Axis Spine and Orthopedics)
• David L Mitchell, M.D.
• Tracy Rene Moore, LPN,CSFA
• Daniel Rocco Morra, MD
• Sarah Anne Mossa

• General Acute Care Hospital in Shiloh, IL
• Providers in Shiloh, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.