MEMORIAL PHYSICIAN SERVICES
NPI 1528741147
Clinic/Center - Rural Health in Jacksonville, IL

NPI Status: Active since August 10, 2023

Contact Information

901 W MORTON AVE STE 22
JACKSONVILLE, IL
ZIP 62650
Phone: (217) 588-6140
Fax: (217) 588-3043

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  • Organization
  • Clinic/Center
  • Rural Health

About MEMORIAL PHYSICIAN SERVICES

This page provides the complete NPI Profile along with additional information for Memorial Physician Services, a primary care provider established in Jacksonville, Illinois operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1528741147 assigned on August 2023. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Ann Bowling (Director)

NPI
1528741147
Provider Name
MEMORIAL PHYSICIAN SERVICES
Entity Type
Organization
Location Address
901 W MORTON AVE STE 22 JACKSONVILLE, IL 62650
Location Phone
(217) 588-6140
Location Fax
(217) 588-3043
Mailing Address
PO BOX 3428 SPRINGFIELD, IL 62708
Mailing Phone
(800) 577-5368
Mailing Fax
(217) 588-3043
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2023
Last Update Date
08-10-2023
Code Navigator

A primary care provider (PCP) like Memorial Physician Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANN BOWLING

Authorized Official Title
DIRECTOR
Authorized Official Phone
(217) 588-2626

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1528741147
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2548144218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 1 + 4 + 4 + 2 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1528741147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316101314 JAMIE LEE LANDSVERK FNP-BC
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1548560089 ROSEMARY L. HERZBERGER FNP-BC
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1912546326 CHRIS WASSELL FNP-C
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1720793052 JENNIFER M GUDGEL APRN
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1861018301 KARI KRISTINE HULLINGER BSN, RN
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1245094986 LAUREN B HULL APRN
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1952135170 DEVHAN VANMETER FNP-C
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140
1174930754 LINDSEY M BIRK
Individual
Nurse Practitioner (Family)901 W MORTON AVE STE 22
JACKSONVILLE, IL 62650
(217) 588-6140

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528741147, enumerated in the NPI registry as an "organization" on August 10, 2023

The provider is located at 901 W Morton Ave Ste 22 Jacksonville, Il 62650 and the phone number is (217) 588-6140

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

This NPI record was last updated on August 10, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.