Active NPI
Memorial Medical Center
- Nursing Facility/Intermediate Care Facility
- Springfield, IL
National Provider Identifier
1538379581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- MEMORIAL MEDICAL CENTER
- Practice address
- 701 N 1St St
Springfield, IL 62702-3757 - Phone
- (217) 788-3000
- NPI assigned
- May 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michele Klodt
- Title
- Registered Nurse, Staff
- Phone
- (217) 788-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | IL | Primary |
Addresses
Primary practice location
701 N 1St St
Springfield, IL 62702-3757
Mailing address
505 Hartford Dr
Sherman, IL 62684-9627
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1538379581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 HARTFORD DR",
"city": "SHERMAN",
"state": "IL",
"postal_code": "626849627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N 1ST ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627023757",
"telephone_number": "217-788-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KLODT",
"authorized_official_first_name": "MICHELE",
"authorized_official_title_or_position": "REGISTERED NURSE, STAFF",
"authorized_official_telephone_number": "217-788-3000"
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.